2025-2026 Human Evolution Specialist Training: Enrolment Application
In strictest confidence. Please answer all questions completely and honestly.
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Email *
First Name *
Surname *
Cellphone Number *
Other Numbers
What are the best days/times to call you to discuss your application? *
Address *
Motivations and Background
Which of the following are part of your motivation in doing this training? *
Required
Anything else you wish to share about your motivations?
Previous Personal Transformation Work
Please list all the personal transformation modalities you've received (eg counselling, hypnotherapy, therapeutic breathwork, primal therapy) or put 'none' if none *
Do you have any of your own practitioner qualifications? If so, please describe
Educational Background
Please list all formal university, polytechnic, trade and professional qualifications below, one per line, or put 'none' if none *
Personal Health and Wellbeing
Are you aware of any medical conditions which could potentially impact on your fullest participation in this course? Please list fully and honestly below (or answer 'none' if none): *
Are you dealing with any of the following mental health conditions?
What are your dietary preferences (tick all that apply)? *
Required
Do you have any serious allergies? If so, please describe, or answer 'no' *
Trusted Contact Person
Someone close to you eg partner, family member
Contact Name *
Contact Cellphone *
Contact Relationship to you *
Contact Address *
Employment Details
Which of the following employment situations apply to you? *
Required
What are your main earning occupations (put 'none' if none)? *
Do you have any non-earning interests or hobbies you're passionate about?
Other Information
If you have anything else to share, please do so here
Acceptance
Please read and tick all of the below to indicate your acceptance of our terms
I promise to attend all nine weekends of the training, to arrive on time and give my fullest participation *
Required
In the event I am unable to fully attend one of the scheduled weekends, I promise to give ample advance notice so that the trainers can rework the course material accordingly. *
Required
I promise to support and not obstruct the personal healing and transformation of all my fellow students *
Required
I promise to take total personal responsibility for my own personal evolutionary process, and to reach out to Pauline and David if I'm struggling to cope with anything that's coming up *
Required
I promise to leave my ego at the door and not fight to hold on to any preconceived notions I've built up, or been fed by society, family, culture etc *
Required
I promise to search for a clear and honest understanding of my True Will, and to strive to live with utmost integrity to my Will, and support others to do the same with their True Will. *
Required
I hereby accept in full the terms and conditions of the 2025-2026 Human Evolution Specialist Training (https://humanevolution.nz/terms) *
Required
Payment Option
The base attendance fee for this course is $10,000 (NZD). 

Discounts of $500 per person are available for couples and family members who enrol together.

Also, deposits and other payments made before 1 November attract a pro-rated discount of up to $500.

For example, a couple enrolling together and settling fully up front would pay $18,000 in total
How do you prefer to make payments? *
Please choose a payment option. In the event your application is declined, all payments made will be refunded in full *
We can also accept partial lump sum payment in advance, and pro-rate the early bird discount, and time payments of the balance over your preferred term.
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