SPIRITUS Breathwork Facilitator Training (Level 1) Application: Feb 2025

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Name* This field is required.Pease enter your full name

First Name

Last Name

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Birthdate* This field is required.

Date

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Email* This field is required.Please enter your best email contact

example@example.com

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Where are you located and timezone?* This field is required.(if accepted we place you into the appropriate practice groups)

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What are your Social Media handles? * This field is required.

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What called you to become a SPIRITUS Breathwork Facilitator?* This field is required.

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If accepted, What would it mean to you to become a SPIRITUS Breathwork Facilitator?* This field is required.

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What is your current line of work?

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What skills/qualities do you have that you believe will make you a great SPIRITUS Breathwork Facilitator?* This field is required.

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Have you experience Breathwork before? If so, how many breathwork sessions have you done and what has been your experience?* This field is required.

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What would you like to achieve in this training?* This field is required.

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What is your biggest challenge in becoming a SPIRITUS Breathwork Facilitator?* This field is required.

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What is your greatest gift?

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What would you like me to know about you?* This field is required.

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If accepted, How ready are you to invest?* This field is required.

Im all in and can pay in Full

I would like a payment plan

Im interested but I don't have the cash flow right now

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Signature* This field is required.RELEASE FORM - Breathwork Facilitator Training FEB 2025-APRIL 2025 Online RISKS:The participant agrees that attending Breathwork Facilitator Training (hereinafter referred to as “the event) is entirely at their own risk. Any experience or service are provided “as is”, without warranty of any kind, either expressed or implied, including without limitation any warranty for information services, coaching, uninterrupted access, or products and services provided through or in connection with the service. The participant acknowledges the following:The participant agrees that the use of all, or part of the service is entirely at the participants own risk. Any actions or lack of actions, taken by the participant of such advice is done so solely by choice and responsibility of the participant and is neither the responsibility nor liability of event organisers/facilitators, their agents, employees, officers, volunteers, and/or contractors, any any person or organisation associated with them and their activities (under Tim Morrison).The participant understands that any experience, service and/or information at the event is not substitute for counselling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment, and the participant will not use it in place of any form of therapy.The participant recognises that the group processes on the event require emotional, physical and mental efforts, exertion and behavioural experimentation, on the participants part, which may cause physical, mental or emotional stress. The participant fully acknowledges and takes full responsibility for all risks involved.The participant understands that it is their responsibility to consult with their primary health care provider prior to participating and should the participant choose not to consult their health care provider, the participant accepts full responsibility waiving all rights to liability or any claims against Tim Morrison and any of his agents, administrators or employees.The participant attests to the fact that the participant has, or will prior to arrival, disclose all relevant information regarding their physical, emotional or mental conditions that could cause harm to the participant by participating in this event.The participant, and/or legal representatives forever release, waive, discharge and covenant not to sue Tim Morrison for any injury, harm or death caused by either negligence or other acts.The participant has read and understood this form and all its contents, and the participant voluntarily agrees to the terms and conditions stated above.WORKSHOPS:The participant understands that they has full choice and responsibility over which workshops they wants to experience or not.The participant understands and agrees that they will actively voice if they wishe to sit out of any of the experiences at the workshop.CONFIDENTIALITY:The participant understands that, in order to ensure that all participants feel free to fully express themselves at the event, for participants to feel that their privacy at the event is protected, and to ensure a full and open interchange of ideas amongst participants, there is a STRICT CONFIDENTIALITY POLICY at the event.The participant agrees to keep everything shared and experienced within the event closed to all those who did not partake in the event.The participant agrees to share their own personal experience of their own journey at the event but agrees to not disclose the information of others.The participant understands that information will be held as confidential unless the participant states otherwise in writing. If the participant reports child or elder abuse or neglect or threaten to harm oneself or someone else, the participant understands necessary actions will be taken and the confidentiality agreement limited in this capacity. All participants agrees that all information received is for personal use only until certified, under no circumstance can any practices, exercises, processes, workshops, information be taken to be used for business outside of the event unless consent is given from Tim Morrison. If done so, the participant acknowledges that legal action will be taken and the appropriate fine will be put in place. All practices, exercises, workshops, information is property of Tim Morrison. MEDIA RELEASE:The participant understands that this event will be recorded live on Zoom and hereby gives consent to Tim Morrison to use of any video/photo content the participant is in for training, educational, and marketing purposes without further consent within the boundaries of the confidentiality as described earlier.The participant agrees to let Tim Morrison, or any of his facilitators, volunteers or contractors know prior to the event if they wish to not be capture on film.

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