Soul Rise Breathwork Waitlist

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Join Soul Rise Breathwork Donation-Based Membership to Experience Deep Inner Healing and Transformation, to Release Old Patterns and Unlock your Truest Potential.

Please fill out this application form so I can learn more about you and if this is the right experience for you.

Once you have submitted the form, you will receive an email on December 1st with a link to sign up and join ❤️

Email *

FULL NAME *

INSTAGRAM HANDLE *

WHAT CITY/COUNTRY DO YOU CURRENTLY LIVE IN? *

CLICK WHICH BEST DESCRIBES YOUR GOALS (CHECK ALL THAT APPLY *

Healing Old Wounds, Trauma and Ruptures

Gaining Deeper Clarity Surrounding Life, Relationships, Career, Etc.

Reprogram your Subconscious Beliefs

Cultivate and Strengthen Self-Trust, Worthiness and Intuition

Building a New Paradigm of the Life you want to Live - Creating a Life that Feels Aligned & True to YOU

Break Free from Limiting Thoughts, Beliefs and Judgements

Other:

Required

WHAT ARE YOU HOPING TO GAIN FROM THIS EXPERIENCE? *

HAVE YOU EVER DONE BREATHWORK BEFORE? WRITE YES OR NO. IF YES, PLEASE WRITE WITH WHO AND WHAT YOUR EXPERIENCE WAS LIKE. *

WHY DO YOU FEEL DRAWN TO WORK WITH DANEN AND BE IN HER MEMBERSHIP? *

WHAT ARE YOU LOOKING TO CONTRIBUTE FOR A MONTHLY DONATION? ALL DONATIONS ARE WELCOME - PLEASE BE HONEST ABOUT YOUR CURRENT FINANCIAL CAPABILITIES *

$60/MONTH

$50/MONTH

$40/MONTH

$30/MONTH

$20/MONTH

$10/MONTH

$5/MONTH

Other:

Required

OPTIONAL: IS THERE ANYTHING ELSE YOU WOULD LIKE ME TO KNOW?

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