Please fill out the following questions to help us learn more about you and how we can best support you in the upcoming program.
List any past or current injuries, surgeries, major illness or prescription medication you are presently taking (specify for what conditions). *
Your answer
What is your professional background. Do you find fulfillment in what you are currently doing? *
Your answer
Describe your background with yoga, meditation, spirituality, or other self-development/actualization practices. *
Your answer
What's your intent for this program? What are you looking to learn or accomplish? *
Your answer
Payment Options *
Terms and Conditions
Emerge Training Agreement: I have read the program overview & policies, understand them & agree to them. I also realize that my deposit is non-refundable & no refunds are administered once program begins!
A $780 deposit is required to reserve your spot in training.
Deposits are non-refundable and non-transferable.
Cancellation more than 30 days prior to training start date will receive a full tuition refund, less the $780 non-refundable deposit.
Cancellations less 30 days before start date will receive 50% tuition refund, less the $780 non-refundable deposit.
Once training begins, no refunds are available.
Filling out CC information below is authorization to bill your CC. If you plan to pay in cash or with check, please make that note in the CC area below.