Holotropic Breathwork Registration
February 1, 2020 8:30AM-5:30PM at the Quaker Meeting House 130 19th AVE SE, St Petersburg, FL
Email address *
Full Name *
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Address - Including City and State *
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Phone Number *
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Have you ever experienced Holotropic Breathwork? *
Please share what interests you about Holotropic Breathwork or any concerns?
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How did you hear about Holotropic Breathwork or did someone refer you to Karen "Mari" Castle, PhD?
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Are you currently experiencing or have a history of the following Medical Conditions *
If you answered yes to any of the previous Medical Conditions please give details here?
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