Fall 8-Week MSC Registration — Mindfulness & Compassion

Participant Information & Registration Form

Mindful Self-Compassion Program (8 weeks)

Offered by Annie Allen, PhD, LSW

Dates: Wednesdays, October 8 - December 3rd, 2025, 6:30-9:00 pm IN PERSON at Summit Church, Philadelphia19119

Mindfulness Retreat, Saturday November 15, 8:30am-12:30pm

Investment: $500 (reduced rate is $425)

For mental health professionals, 24 CE’s ($50 processing fee)

Note: This mindfulness program is an experiential and psycho-educational course in a group setting, and is not group therapy.

Click here to see the detailed course description.

Name

First Name

Last Name

Phone

(###)

###

####

Age

Work or Occupation

What draws you to participating in this program?

How did you hear about this course?

Do you have a regular practice of meditation? If so, what type and how many years have you been practicing? (It’s not necessary to have any experience of meditation prior to this program.)

Please share any information you think would be helpful for me about your current or past mental health that you think may impact your experience in the class.

Please describe any health or medical condition that you feel may impact your experience in the class.

Do you any have questions or concerns?

Is there anything else that would be helpful for me to know at this time?

Continuing educations units

The course offers 24 CE's. Attendance at all sessions and post-course evaluation form are required for CE's.