Ocean Therapy Interest Form
Break Through Waves mission is for adults learn to lead lives of balance in mind, body, and spirit. Together we harness the healing force of the ocean through surf therapy, yoga, and mindfulness. We strive to create a safe space for adults find their unique healing, community, and power while being in the ocean.

Our Ocean Therapy sessions are co-facilitated by mental health professionals and certified surf therapy coaches to honor your physical and psychological safety and bravery.

Programs include yoga, surf support, community building, mindfulness practices and the opportunity for intentionality and personal growth, healing, and transformation. Our hope is that develop your own sustainable surf practice and that you also walk away with a life long community that supports you through all the waves of life.

Great care goes into creating experiences that are inclusive and intersectional. No prior surf or swimming experience needed.

For the 2022 season we are sponsored by Social Enterprise Greenhouse. While we ask for a donation to our program, don't let financial barriers keep you from saying yes to reclaiming your healing, power, and being in the oceans waves with us! We fundraise and provide services to allow for financial support so our surf therapy programs can be accessible and welcoming to all who are interested in our program. Break Through Waves believes that abundance goes beyond finances. Each person is full of abundance in different forms.

All information below is held and honored as confidential.

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Name *
Address, City, State, Zip Code *
Email *
Phone Number *
What is the best way to reach you?
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Are you over the age of 18? *
Which Ocean Therapy Program would you like to participate in? *
What time of the week would work best for you? Please note that we choose times at the beach that are relatively uncrowded for your comfort and safety. *
What is your experience with surfing or SUP? *
At times we offer programs for both men and women. If available would you also be interested in
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Is there anything else you would like us to know about you?
Our non-profit is supported with donations from sponsorships and people like you. Don't let financial barriers keep you from saying yes to reclaiming your healing, power, and being in the oceans waves with us! We fundraise and provide services to allow for financial support so our surf therapy programs can be accessible and welcoming to all who are interested in our program. Break Through Waves believes that abundance goes beyond finances. Each person is full of abundance in different forms. As you complete this form know that we honor you as an abundant human being with so much to offer the world around you! We will be reviewing all applications until our program starts. What type of assistance are you applying for? *
What do you hope to gain from your experience Break Through Waves 8 week program? *
All the above information will be respected as confidential. By signing below, by typing in your name, you verify that the statements made within this application are true and accurate. *
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