1:1 Session Interest Form
Break Through Waves mission is for adults to learn to lead lives of balance in mind, body, and spirit. Together we harness the healing force of the ocean through surf therapy, yoga, and mindfulness. We strive to create a safe space for adults to find their way of unique healing, community, and power while being in the ocean.

Our 1:1 Ocean Therapy sessions are co-facilitated by mental health professionals and certified surf therapy coaches. This will honor your physical and psychological safety and bravery.

This 1:1 session includes yoga, mindfulness and surf therapy support, community. Our sessions are an opportunity for personal growth, healing, and transformation. Our hope is for you to develop your own sustainable surf practice so that you walk away with tools and techniques that support you through all the waves of life.

Great care goes into creating experiences that are inclusive and intersectional. No prior surf or swimming experience is needed.

While we ask for a donation to our program, don't let financial barriers keep you from saying yes to reclaiming your healing, power, and being in the waves with us! We fundraise and provide services to allow for financial support so our surf therapy programs can be accessible and welcoming to all who are interested in our program. Break Through Waves believes that abundance goes beyond finances. Each person is full of abundance in different forms.

All information below is held and honored as confidential.

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Name *
Address, City, State, Zip Code *
Email *
Phone Number *
What is the best way to reach you?
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Are you over the age of 18? *

Choose a date and time that works best for you. Know that we choose times at the beach when it is less crowded to minimize stress and create a wonderful time on the beach.   *
What is your experience level with surfing or SUP? *
What size wetsuit are you? We provide wetsuits for your comfort. If your not sure what size wetsuit you are, let us know what size shirt you wear and will bring several suits for you to try on for the best fit.  *
Is there anything else you would like us to know about you?
Our non-profit is supported with donations from sponsorships and people like you. Don't let financial barriers keep you from saying yes to reclaiming your healing, power, and being in the waves with us! We fundraise and provide services to allow for financial support so our surf therapy programs can be accessible and welcoming to all who are interested in our program. Break Through Waves believes that abundance goes beyond finances. Each person is full of abundance in different forms. As you complete this form know that we honor you as an abundant human being with so much to offer the world around you! We will be reviewing all applications until our program starts. What type of assistance are you applying for? *
What do you hope to gain from your experience Break Through Waves 1:1 session? *
How did you hear about us? *
All the above information will be respected as confidential. By signing below, by typing in your name, you verify that the statements made within this application are true and accurate. *
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