Self Love Breathwork Online Course

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Thank you so much for your registration for the upcoming 5 week online course.

Starting on Tuesday the 10th of October at 5.30 pm GMT (UK, Portugal). 6.30pm Central Europe time (CET) approx 2.5 hrs each session. (sessions are held in english)

Please make sure you read all the details about the course, and how to prepare for an online session, on the website.

Please fill out this form for your final registration.

I'm looking forward to breathe with you.

With Love and Gratitude

Mela Mariposa

Email *

Please provide your phone number for our support telegram chat during the course.
*

Please send your payment within the next 3 working days after filling out this form, for your registration to be valid.

Once you made the payment please send a proof of payment to breathworkportugal@gmail.com and you will receive the zoom link to join the first session on the 10th of Oct.

The Course fee is 144.- € for all the session. It is not refundable. Please do not share this the login /recordings with others.

Please send your payment to following account:

IBAN: DE73120300001037613930

BIC: BYLADEM1001 (Melanie Hess)

Revolut:

@melamariposa / +351962278719

Cancellation Policy:

Once your payment is done, your space is secured. The ticket is non refundable. You can pass it to someone else, with the obligation to notify me.

It is very important for you to be in a healthy mental, physical and emotional state. You can not join this course, if you suffer from psychosis, if you are pregnant or if you suffer from glaucoma, severe heart disease or strong asthma.
*

I do not suffer from anything mentioned above and consider being healthy.

I have doubts regarding my health situation. please contact me to talk about it.

Other:

Do you take any medication or do you have any medical diagnosis? If yes please mention below.
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Have you have any experience in breathwork ? not pranayama ;) (please specify)
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Please be aware that this practise can bring up a lot of emotions and feelings and it is important to be ready to dive into your process of loving yourself fully, and that means looking at all your triggers ;) *

I'm aware of that

Thank you for joining me on this beautiful self love ride.

LOVE

Mela

A copy of your responses will be emailed to the address you provided.

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