First Name

Last Name

Mailing Address (City/ST/Zip)

Phone

What is your age?

Gender

Do you have any prior experience with hypnosis, past life regression, or spiritual healing? Y/N (If Y, explain).

What is your IG or other social media name?

Are you currently working with clients in a healing or spiritual capacity? Y/N

This training requires active participation, including practice sessions. Are you able to fully commit to attending all live sessions and engaging in the exercises? (Yes/No)

Do you have any potential scheduling conflicts?

How do you plan to secure your seat if accepted? (Options: Pay in full / 2 Payments/Payment plan)

How did you hear about this training? (Social media, referral).

Are you comfortable with the non-refundable policy? (Yes/No)

Why do you want to take this training?

How do you plan to integrate this training into your life or practice?

Terms

I understand that there is no cost to submit this application and that submission does not guarantee acceptance into the training. I also acknowledge that if accepted, all tuition payments are non-refundable once paid.

*Your application will be reviewed, and if selected, you will receive an acceptance email within 7 business days with next steps.