Application Form - Breath Coach Training
Join Rachel and Lucy for their online 25 hour Breath Coach Training certified by Yoga Alliance.
Name
*
First Name
Last Name
Email
*
example@example.com
Email for Facebook Group (if different to above)
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Nationality
*
Occupation
*
Do you speak English? (Please note that the training requires a good understanding of English and students must be able to comprehend in both written and oral communication)
*
Yes
No
Other
Do you have any health issues which might impact your participation in this training?
*
Are you taking any prescription medication that affects your mood or respiration ability?
*
How did you hear about this training?
*
What are your main reasons for wanting to participate in this training?
*
What (if any) previous experience do you have with Breathwork?
*
Are you applying for this training as a front line care worker? If so, please list your occupation, place of work & attach a copy of your Health Practitioner ID card below to apply for 50% discount.
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