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To applyĀ
and
Ā register, please take the time to fill out the information below.
Ā
Name
Email
Phone number
What are your preferred pronouns? (This helps us hold a respectful space for you)
He/Him
She/Her
They/Them
Other
Where will you arrive from?
Which training(s) are you applying for?
Level 1
Level 2
Level 3
Level 1 & Level 2
Heart of Tantra
Reclaim Your Breath Weekend
Medicine Music Immersion
Location(s) of retreat(s) you are applying for:
Date(s) of retreat(s) you are applying for:
I am attending as a:
Participant
Co-facilitator
Will this be your first time with Breathwave?
Yes
No
Were you referred to Breathwave by someone? If so, who?
What is your experience with breathwork?
Have you done any previous Breathwork training? (Style, level, or year)
Do you have any dietary restrictions or sensitivities?
If you want to share a room with someone specific, please provide details below.
Is there anything from your mental health history you'd like us to know to better support you?
Are you currently on any medications or plant medicines to cope with daily life?
Are there any physical health challenges or injuries we should be aware of?
Would you share 1-2 life challenges you've navigated and what they taught you?
What are you breathing into your life with this training?
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Thank you for sharing your journey with us. We are so grateful for your trust and look forward to welcoming you into this space.
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