Breathing Free Sweden || Summer 2019
JULY 9 - 15TH, 2019

We have a limited number of spots for this deeply transformative and physically intensive experiential journey into the breath, connecting with the element of air. Get ready to level up while training our physical body in community as we reprogram our limiting beliefs and cultivate a catalyst for creative culture and social impact that radiates growth.

Email address *
Preferred communication method and contact details *
Your answer
Full Name *
Your answer
Facebook // Instagram // Website *
Your answer
Date of Birth *
Your answer
Country of residence *
Your answer
Languages spoken *
Your answer
Tell us about you... *
Your answer
What has called you to apply and why do you want to participate? *
Your answer
What is your experience with the following: Breathwork. The Wim Hoff Method. Ice Baths. Yoga. Meditation. Any other physical or mindfulness practices. *
Your answer
How would you like to be a part of the co-creation? Is there something you would like to teach or offer? *
Your answer
What most interests you about this experience? What are you interested in learning? *
Your answer
How are you currently living your life and spending your time? Where are you at in your work, studies, and free time? *
Your answer
What is your passion? What most inspires you and excites you? *
Your answer
How do you imagine this experience impacting your life? *
Your answer
What is your main intention or goal for this experience? *
Your answer
Is there something you are looking to free yourself from? What are you hoping to gain? *
Your answer
Is there anything special we should be aware of while living with you? Or tell us something wild. *
Your answer
Any... Allergies // Dietary restrictions // Physical or mental health related things you'd like us to know > > *
Your answer
How did you hear about this experience? What led you here? *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Courtney Larson. Report Abuse - Terms of Service