Aliveness Immersion Application
Hello! Thank you for your interest in attending the Aliveness Immersion from December 12-15 in Northern California with Jonny and Kelly Miller. We have a few simple questions to ask to ensure we're a great fit for each other. You may also use this form to ask any questions you're curious about. 

Please allow between 24-72 hours for a reply. 

All the best, 
~ Jonny and Kelly Miller 
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What is your name? *
Your best email address? *
Why are you interested in attending the Aliveness Retreat? *
Do you have previous experience with breathwork journeys? If so, please briefly describe (e.g., the style, facilitator, duration, number of times, etc.)
Please note that you do not need to have previous experience to attend, it is just helpful for us to have this information. 
Where did you hear about this retreat? If someone referred you, please add their name.  *
Do you have any questions for us? 
Is there anything else you'd like to share?
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