Mindful Breathing Teacher Training NZ 2021 Application
4th - 7th March 2021 | Mana Retreat Centre, Coromandel, New Zealand

We are super excited to hear about who you are and why you are here + understand your needs/wants for this training.
Okay, first thing first. What is your name? *
Please include your full name (first, middle, last), that you would like on your Completion Certificate + your preferred name.
Date of Birth *
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Email Address *
Mobile Number *
Where are you coming from? *
What (and where) is your current work/role/position? *
Emergency Details *
Please include Emergency Contact Details (Full Name, Relationship, Phone Number, Full Address) + any Medical Conditions we would need to be aware of in an emergency situation.
Why are you called to the MB Teacher Training? *
What experience/practice do you have with Mindfulness, Breathwork, Meditation? *
I would LOVE to walk away from this 3-Day Training with... *
Dietary Requirements? *
Note: ALL Meals will be vegetarian/vegan at Mana Retreat.
How physically able and mobile are you? *
We use this to determine accomodation and activity.
Very immobile.
Very mobile & able.
We are gifting you a Just Breathe hat. Please choose your preference of Gold or Navy Blue. *
Captionless Image
Required
There is a deposit of AU$180 required to be paid before acceptance of your application. Have you completed this step? *
This non-refundable deposit can be paid into Name: Breathe School Pty Ltd BSB: 484799 Acc: 604330005 Ref: MBTT Deposit Amount: AU$180. If paying from NZ, please email inhale@breatheschool.com for invoice to pay via credit card.
After your deposit, how would you like to pay the remainder? *
The remaining, after your deposit, is $1,215 (of AU$1,395 total). A three part payment plan is available with a $99 admin fee.
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