Breath Alchemy Facilitator Training Application

Name

First Name

Last Name

Email

Phone number

Website or social media

http://

Place of residence (city/state)

Please share about your past and present training, qualifications, career & work experience.

Include any extra-curricular studies, interests, etc.

Do you have any experience with energy work/healing?

Please be detailed in your response.

Why do you want to do this breathwork teacher training?

Please be detailed in your response.

What are you hoping to learn and experience during this training?

Please be detailed in your response.

How would you describe your physical, emotional, mental & spiritual wellbeing?

Please be detailed in your response.

If your application is successful, which payment option do you intend to choose?

Pay in full: $555.00

Installment plan: 2 x $277.50

Installent plan: 4 x $138.75

Is there anything else you would like to add to your application?

*Please note that all responses are confidential, valued and appreciated.

Thank you!