Mastering the Art of Breathwork Application 
Please fill out this application and we will be in touch within one week of your submission.
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Full Name  *
Email Address & Phone Number  *
Address  *
What is calling you to take this training? 
Are you interested in Path 1 or Path 2? 
Do you have any experience with breathwork? If yes, please share more. If no, no worries!
Please read all contraindications below. Do you qualify for Breathwork based on the following?  

***It is Not Safe to Practice Breathwork with the Following Conditions: 

» History (personal or family) of aneurysms
» Epilepsy or history of seizures    

» Cardiovascular disease (angina, previous heart attacks, or strokes)

» Retinal detachment            

» Recent injury or surgery    

» Kidney disease

» Severe Asthma

» Glaucoma

» Uncontrolled/Unmedicated High or abnormal blood pressure

» Severe psychiatric symptoms, particularly psychosis, bi-polar disorder or paranoia

» Any person with mental health condition who isn’t in treatment or lacks adequate support 

» An active substance addiction

Health conditions that can be compatible with practicing Breathwork safely, but advisable to discuss them with your facilitator beforehand:

» Pregnancy: safe if using a slow, gentle nose inhalation breath*
» Mild Asthma: Bring your inhaler    

» Controlled Blood Pressure

» Controlled Thyroid Condition        

» Diabetes: Bring your glucose    

» Recent Surgery: Depends on the severity of the surgery and healing process

*More on Pregnancy: Gentle Breathwork (slow pace and parasympathetic nose inhale) for women who are pregnant are completely safe and recommended. Intense mouth-inhale and fast pace Breathwork should be avoided. It’s physically “safe” for the body during this time, but the emotional transition to the baby, and the overall emotional response may be overwhelming. 


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Are you willing and able to dedicate the time to enter this journey with us? *
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