Somatic Training Application
This is an application for any training offered through the Somatic Intuitive Healing Training Center/Moon Vibe Sanctuary. Please pay the application fee of $100 HERE 
Sign in to Google to save your progress. Learn more
Full Name  *
Preferred name and/or pronouns *
Contact Info - Email & Phone *
Which training are you applying for?  *
What wellness training do you have & do you currently see clients? Are you a licensed or certified professional? If you are new to wellness, what are you currently doing as an occupation?  *
What draws you to somatic work?  *
Both trainings include some personal development work. Do you have any medical or mental health history that would be important for facilitators to be aware of? If so, do you feel you have worked through your history sufficiently to work with activating material? Did you receive professional support in healing any recovery or mental health history? *
Somatic work can be destabilizing for some. Do you feel you are in a time in your life where you are stable and supported to take on the transformative work that this training requires?  *
Is there anything else relevant that you would like to share? 
How did you hear about this program?  *
Have you checked the website for logistical information such as dates, tuition, and info videos? If not, please do to make sure it is accessible for you. *
Please answer yes or no to the following: 
- I understand that although there is self growth involved, that these trainings are professional learning environments and are not the place to do personal trauma resolution work.
- I understand that some of the content in trainings may be activating and I feel I have sufficient support in my life to be able to manage that.
- I understand that assistants are available to offer immediate support for any emotional activation that may come up but that if more than 15 minutes is needed that I may need to leave for the day and/or be required to find additional support to continue in the training
- Somatic work requires presence. Do you agree to abstain from state-altering substances including but not limited to psychedelics, marijuana, alcohol, or micro-dosing on the day of the training including in the evening and the day before. This helps to create a safe container for everyone.
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Moon Vibe Sanctuary.

Does this form look suspicious? Report

Google Forms