APPLICATION FORM
FACILITATOR TRAINING BALI BREATHWORK
PERSONAL INFORMATION
Full Name
*
First
Last Name
Email
*
example@example.com
Phone Number
-
Country Code
Phone Number
Location
*
City
Country
Instagram Handle (optional)
Experience & Readiness
What draws you to join the Bali Breathwork Facilitator Training?
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Have you experienced breathwork before? If yes, please describe.
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Have you completed any other trainings (yoga, therapy, coaching, healing arts..)?
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How do you plan to use this training in your life or work?
*
Do you have any mental/physical health conditions we should know about?
Are you currently pregnant?
*
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Payment Preference
Which investment option would you prefer?
One-time full payment (£3320) Save £400!
2-month plan (£1660/month)
3-month plan (£1110/month)
4-month plan (£875/month)
5-month plan (£744/month)
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Final Step
Record a short 2–5 minute video introducing yourself, sharing why you feel called to join this training and what it means to you.Upload your video below.
*
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Link of the Video if any
Have you ever completed any training or certifications in the wellness field? Please tell us more.
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Do you have any idea on what kind of people you would like to help with Breathwork?
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What are your long-term goals with this training?
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Please share your link to IG or any of your social media or website if you have one:
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