Immersive BCST Introduction
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Email *
Full Name *
Email *
Please ensure you provide an accurate email as we will email you details about the Intro Day
Mobile *
If you have a different number for Whats App, please share that as well.
Age *
Tell us a little about yourself. What do you do? What do you like, and may be even what you don't!
What are the reasons that piqued your interest in BCST?
Have you experienced a professional BCST session?
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Do you want to pursue BCST professionally?
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Do you practice any other therapy, healing modality, body work, spiritual practice? If yes, please mention their names.
Please write Not Applicable (NA) if necessary
How did you hear about the Immersive BCST Intro Day?
Please share details of your emergency contact. Please give their Name, Mobile Number and your relationship with the person.
How do you best prefer to stay connected with us? *
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