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Embodied Freedom Movement Spaceholder Training
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Name
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Where are you from? Country + Town
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Mailing Address
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Phone Number
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Age
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Gender and/ or Pronouns - Eg. Male - He, him or Non-Binary - They, Them (For accommodation purposes)
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How did you find out about this training?
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Experience and Motivation
1) Have you been to a Multi day Embodied Freedom event? If so when and where?
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2) Do you have other movement experience as a Facilitator? E.g. Open Floor, 5 Rhythms, Ecstatic Dance, Contemporary dance, other?
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3) Do you have experience with Possibility Management? If so, please say more?
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4) What other self development modalities do you have experience with?
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5) Are you already holding space for any group or one on one spaces? If so please share.
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6) What do you want to get out of this training? Why do you want to join this training?
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7) What does Embodiment mean to you?
How do you describe it?
How do you describe it?
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8) What does Spaceholding mean to you? What do you love about holding space? Or why would you want to offer spaces?
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9) What Spaces are you longing to create? One on one or groups? You might not know that yet, and if you do then please share.
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Health and Wellbeing
10) Do you have any physical limitations that will affect your participation?
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11) This training will touch into your own emotional blockages that are in the way of you holding space.
Do you take full responsibility being in those spaces of deeper explorations?
Do you take full responsibility being in those spaces of deeper explorations?
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12) Do you have any current or previous emotional or mental issues that we should be aware of, or that might affect your participation in this course?
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Logistics
13) The catering for this training will be vegan, three times a day. There will also be refreshments and fruit available at morning and afternoon teas.
Please let us know if you have any dietary requirements or allergies and we will do our best to accommodate them.
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14) Do you have your own transport to the venue? (include details if necessary)
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15)
Please select Payment Option
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Please comment with your reference and upload a screenshot in the section below.
Wise Account
https://wise.com/pay/me/alexandral1707
Alexandra Lopes
BIC: TRWIBEB1XXX
IBAN: BE19 9678 6146 1612
Code: Portugal Training
Reference: Your Full Name
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Please upload a screenshot of your payment confirmation.
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