Deeper Within ~ 2023
Thank you for your interest in Deeper Within. 
You'll find a description here:
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Email *
First and Last Name *
Today's Date: *
Address (Street, City, State, Zip) *
Cell Phone *
Full Date of Birth: Example: 10/4/64 *
What are your personal pronouns? Ex: he/him, she/her, they/them, etc. *
Emergency Contact: Please list name, relationship (partner/spouse/parent. etc) and phone number. *
What is your relationship to shamanic journeywork? Talk about your experience with your own guides and spirits. *
What about the Deeper Within program interests you most? *
Share a little about yourself. What do you love to do? What keeps you busy in the world? What is important to you? *
Share a bit about about your spiritual roots and where you are at currently. *
Have you experienced an immersion program before? What did you like about it? What didn't you like about it? *
Deeper Within retreat weekends are substance free events. Please do not bring any recreational substances onsite with you. If you have questions or concerns, please ask here: *
Dietary information *
Please list any food allergies: *
Please list any allergies in general: *
Please share about a vision or personal intention you hold for yourself and for your life, in the next 5 years. *
What is your personal relationship with and experience of trauma? *
When you are emotionally triggered, how do you respond? *
How do you respond to people who are different than you, in their gender expression, sexual orientation or cultural background? *
Each participant will be asked to share an important personal area of focus for this program. (i.e. getting rid of specific internal messages that hold you back, working on creating healthy boundaries, responding vs reacting, deep listening, etc.) Please list what you feel your focus will be. **This can be revisited when we are closer to the start of the program so don't stress about it.** *
Please share about physical limitations that might prevent you from traveling to the training, or participating in the training? *
What kinds of questions do you have about the Deeper Within program? *
The investment for Deeper Within is $2997 when payed in full. Installment options are $1067 x3 or $1597 x2. Your initial payment will hold your space in the program.   *
Payment details: *
Please read the Deeper Within agreements here and initial or leave a question below if you have one: *
What is the most important thing for me to know about you? *
The mission of this training is to create a supportive container for growth and learning through the lens of shamanic practice and journeywork, in a shared community. The material taught and shared is for personal exploration and learning. Completion of this training does not grant you permission to teach any of the material included. *
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