Sacred Breathwork Circle Application
Hello and welcome!!! Take a nice deep breath! You have arrived at a new level of support.

Please fill out the form to the best of your knowledge. I look forward to supporting you!

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Email *
Please share your name and a bit about what brings you here. *
Are you a Sensitive, Seeker, Helper or Healer? *
What are you being called to grow within yourself right now? *
What your biggest struggle? *
Have you been diagnosed with any mental health issues in the last 5 years? If so, just tell briefly tell me more. *
Do you suffer from any health conditions? If so, briefly tell me more. *
Have you experienced Breathwork before? Tell me what your experience is... *
The group I am applying for is... *
Can you agree to take 100% responsibility for showing up for yourself and others for 3 month increments? *
A copy of your responses will be emailed to the address you provided.
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