I have read and understood the instructions on this registration form, and the information that I have submitted in this form is accurate, correct and complete. I understand that any inaccurate information and/or omission of information will render this registration invalid. I hereby consent for the information I have submitted to be used by SMU, in accordance with and to the fullest extent permitted by prevailing law and such policies which SMU may have at the relevant time.

I understand that participation and home practice are important for the benefits of this course to materialize. I commit to participate and practice to the best of my abilities. In the event that I need to miss a class I will advise the course instructor in advance.

I understand that this course is not intended to replace medical or psychological treatment. I understand that the course instructor does not act as a counsellor, therapist, or medical professional, and does not provide advice on medical and psychological treatment.

I acknowledge that it is my responsibility to inform the instructor or Mindfulness Initiative @ SMU of any conditions that may impact my suitability to participate in the course, before the course or as soon as any such condition may arise. In particular, it is my responsibility to provide honest responses to any pre-course questionnaire and to do so in a timely manner before the start of the course.

For the purposes of teacher training, professional development, and quality control and improvement, SMU and its instructors affiliated with the Mindfulness Initiative @ SMU may at times want to video and/or audio record course sessions.

I understand that any visual recordings will focus on the course instructor and not show the faces of participants. I understand that there may be an audio recording of the class discussion but that I cannot be identified individually (e.g., by full name) other than by my voice. I understand that the video/audio recording will only be used for training, certification, and quality-related purposes and will be held confidentially.

Assumption of Risks: I understand that participation in this course carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, from person to person, and include both physical and psychological risks, which are rare especially for serious risks. Potential physical risks of physical exercises include injuries such as scratches, bruises, sprains, joint or back injuries, and concussions. Potential psychological risks of mindfulness practices and meditation include increased negative affect, heightened anxiety, loss of a sense of meaning, unveiling and re-emergence of traumatic memories, and depression.

I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in this course. I assert that my participation is voluntary and that I knowingly assume all such risks. I also commit to notifying the course instructor as soon as I suspect experiencing serious side-effects of this course.

Undertaking: I assume full responsibility for all risks associated with my participation in the course and I hereby irrevocably undertake to release, waive, discharge and covenant not to sue, to the fullest extent permitted by the laws of Singapore, SMU, its staff, officers, faculty, or any of its authorised agents in respect of any and all claims, liability, demands and causes of action of whatever kind that I may have including, but not limited to, any damage to or loss of any personal property or illness or personal injury or death or the consequences thereof, arising from or in any way connected with my participation in the course, where such damage to or loss of any personal property, or illness or personal injury or death, or the consequences thereof is not caused by the negligence of SMU, its staff, officers, faculty, or any of its authorised agents.

By submitting this Form, you hereby agree to the collection, use and disclosure of your personal data by Singapore Management University (“SMU”), for events, courses, seminars and related activities organized or co-organized by Mindfulness Initiative @ SMU (“Purpose”). Your personal data will be used for the Purpose, including where necessary or applicable, the disclosure of your personal data to partners or to affiliates of SMU, as the case may be for the Purpose. In this regard, you confirm that the personal data you have provided is complete and accurate.

SMU respects the privacy of individuals and recognizes the importance of the personal data you have entrusted with us and believe that it is our responsibility to properly manage, protect, process, use and disclose your personal data. We will collect, use, disclose and protect your personal data in accordance with Singapore’s Personal Data Protection Act 2012 (“PDPA”), the European Union’s General Data Protection Regulation (“GDPR”) or the United Kingdom’s Data Protection Act (“DPA”), as the case may be. If you are located in Singapore, please click here to find out about your rights under the PDPA. However, if you are located in one of the countries in the European Union or European Economic Area, or in the United Kingdom, please click here to find out about your rights under the GDPR or DPA, as the case may be.

You may withdraw your consent for the collection, use and disclosure of your personal data for the Purpose, at any point in time, by sending your request to mindfulness@smu.edu.sg. However, please note that this may affect our administration of the Purpose to you. Your withdrawal will be effective within 30 (thirty) days of such a request.