Womb Embodiment Training/ Retreat
**Please note that filling out this application does not automatically enroll you in the program. These questions are intended for us to get to know you, understand where you are at on your journey, and determine whether or not this program is an aligned fit for you.

Please treat this application as though it were an initiation into a sacred ceremony. You might even light a candle or burn some incense. Take your time filling this out, share from your heart, and please be as specific and descriptive in your responses as possible.


Thank you!

Sam Rea & Juilaila Rose
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First & Last Name *
Email *
Instagram *
Phone Number *
Please share about why you feel drawn to this specific Training or Retreat *
What has your journey been like in relationship with your womb and your body? *
How do you desire your relationship to your womb and your body to be, if different than above? *
What other programs, courses, workshops, trainings, coaches, or other resources have you tried to address these specific concerns, if any? How effective/supportive have these programs been for your specific needs? Please be specific. You can write "none" if this will be your first! (we accept womxn with all levels of experience in this work, this is just to get a sense of where you're at in your journey) *
Please share your intention for embarking on this journey. Imagine yourself at the end of this program and paint a picture of your *most ideal* scenario - no limitations! What's changed? How do you believe this program will benefit your life? Really feel and see the vision and share with us below.... *
Setting up a connection call with one of us at Yoni Temple School is a required part of the application. Before submitting your application, please copy and paste this link below to schedule your connection call with us. Link:  https://calendly.com/yonitempleschool *
Required
Thank you for scheduling your connection Call. We so look forward to connecting with you! <33
How did you find out about us? We'd love to know :) *
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