Full Name *

Phone *

Email *

Instagram Handle

Your Facebook & Website links

Where were you born and where do you live ? *

How did you find out about me / this training? *

Which Training(s) are you interested in? *

Online ENGLISH - November 2025 or February 2026

San Luis, Costa Rica - In Person 7 Day Intensive - March 8-15, 2026

Quebec | April 17-24 ,2026 (francais)

Sedona | May 8-14 2026

Greece Pilgrimage | July 2026

Peru Pilgrimage | September 2026

Colorado | October 1 – 8

Tell us about you! Where you're from, your personal journey with healing and your experience with receiving and sharing healing arts *

What are your tools when feeling dysregulated? ? *

What is your experience being in group settings for the purpose of healing and reconnection? *

What is driving you to say "YES" to this program? What do you hope to receive from this program? Who do want to become after this training? *

What are you working on in your life? *

What is your relationship to kundalini energy? *

Can you commit to attending the full training and giving this container your all? *

Yes, I'm confident I can commit to giving it 100% !

Yes, but I'm not sure I can give it my all...

I'll commit to most days, but not all

Does the schedule of the training work for you ? If not, please give your preferred availability schedule below. *

What is a facilitator to you ? How do you desire to show up in that way? *

Have you ever been in a Kundalini Activation session (not kundalini yoga) before? *

Are you certified in Reiki or any other energy modalities? Do you already offer healing arts sessions? Do you already teach yoga or movement arts? *

How is your Health and Body? Are you currently taking any medications Or pregnant Or have been diagnosed with physical or mental condition? Do you have any injury or medications I shall know about? *

Is there anything else you'd like me to know? *

Would you like to subscribe to our mailing list for updates on upcoming events? *

Yes

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