Registration Form Which immersion are you applying for? * ✴︎INNER WELLSPRING✴︎ Greece | August 27-September 3, 2023 ✴︎BREATH OF LIFE LEVEL ONE✴︎ Santa Fe | November 9-12 Name * First Name Last Name Email * Phone * Country (###) ### #### Do you have any experience with craniosacral healing work? If so, please describe. * What is your impulse to join? * Do you currently have any health issues we should be aware of? If so, please describe. * Do you currently have a therapist, or what is your support network? * This work goes deep, and we like to make sure support systems are in place. Do you have history with mental health issues? * Are you on any medications currently? * Do you have any food allergies? * How did you hear about this immersion? * What does health and healing look and feel like to you? * Upon the submission of my application I am ready and able to send my deposit of $500 to @koakalish via Venmo. * Please note: deposits are non-refundable. Yes, sign me up! I'm not quite ready. Is there anything else you feel called to share? * Thank you for taking the time to fill out this application. We look forward to receiving it! Thank you! To complete your application and reserve your space, please send in your deposit. You will receive an email confirmation within the next few business days.
