If you are at all interested in learning more about the practice of mindfulness and meditation and would like to experience a 5 day teen retreat we encourage you to fill out the expression of interest form, below.

To see information about our upcoming retreats click here.

After completing the registration form we'll be in touch within the fortnight to speak about what's next.

If you have any questions relating to this form don't hesitate to contact us!

e: enquiries@ime.org.au



Your Name *
Your Name
D.O.B *
Your Address *
Your Address
Parent/ Guardian Name
Parent/ Guardian Name
Is Parent/ Guardian Address Same as Your Address
If no, please fill out the 'parent/ guardian address' flied below. If yes, skip.
Parent/ Guardian Address
Parent/ Guardian Address
e.g. I've tried it before at school or at home | I've heard about it before but haven't tried it | someone I know meditates | I meditate regularly
e.g. you're willing to try new things | you feel confident with speaking to groups of people | you are a leader | you care about the wellbeing of others | you are creative
e.g. talk to a friend or carer | exercise | listen to music | read | write | draw | visit a particular place
e.g. loss of loved one | leaving home | divorce