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Men's Virtual Practice Dojo with Christopher Sunyata August 8-9, 2020
Please complete this form. It is your application to attend, and acknowledgment of the event's terms and conditions. All information shared is confidential and will only be used to ensure a safe and effective program.
Questions? Contact: Christopher Sunyata at (808) 989-0928 or Christopher@Sunyata.info
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Email
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Name
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Birthdate
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Occupation
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How did you learn about this event?
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List the events and trainings with Christopher Sunyata, David Deida, or related teachers, that you have attended, if any. (Include what, when, and where, if possible.)
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Have you participated in any other training programs for personal growth? If yes, which ones?
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What are the three things, relationships, or areas of life you’d most like to shift or bring change to as a result of taking this program? What are your intentions for yourself and your future?
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What would need to happen for you to feel that this program was a success for you?
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The practices, training, and exercises in this program can be physically and emotionally demanding. Do you have any medical conditions that might restrict your full participation in this program? If yes, please explain.
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Have you in the past two years been under the care of a therapist or mental health professional? Have you ever experienced any traumatic or emotional conditions that are relevant to this program, including childhood emotional or physical abuse? If yes, please share those circumstances in detail, when they began and their duration, including whether or not you received or are currently receiving treatment.
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Do you have a regular spiritual practice such as meditation, prayer, yoga, etc.? If yes, please describe.
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Is there anything else that may be important for Christopher and the support staff to know about you?
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