Spring Retreat with Adrian Stephens May 14

Application for Spring 2026 Retreat with Adrian Stephens

Thursday May 14, 2026 until Sunday May 17, 2026 Prerequisite: Everyday Open Intelligence Twelve Empowerments
I would like to apply for Power of Benefit Training/s. I understand that acceptance of this application means my full commitment to participating in and completing all sessions.
Training Format
Which Power of Benefit format would you like to apply for?
Have you participated in a Power of Benefit training in the last 12 months?
- Summer Gathering
- Online

Contribution
We deeply appreciate your contributions which help make the Short Moments Training available worldwide.

If you are not able to contribute within the sliding scale or would like to apply for a contribution plan, please submit a proposal to the indicated contact person.

Suggested Contribution:

- Power of Benefit Training $45-$100 USD / day of 450 to 1000SEK /day
Your suggested contribution for the Training (please specify the currency):
45 to 100USD or 450 to 1000SEK / day
Optional - You can also create a monthly contribution plan for this training, please enter your suggestion here:
I plan to make my contribution via
Your suggested contribution for the Twelve Empowerments for Women(please specify the currency):
$750-$2,500 USD
Optional - You can also create a monthly contribution plan for this training, please enter your suggestion here:
- Your suggested contribution for the Empower Parenting Training(please specify the currency):
  Per training day: Standard €60 / Reduced €35 / Supporter €120
- Optional - You can also create a monthly contribution plan for this training, please enter your suggestion here:
- £75-150 for one day; £150-300 for both days
- Optional - You can also create a monthly contribution plan for this training, please enter your suggestion here:
- Your suggested contribution for the Extract the Power Weekend Training (please specify the currency):
  £75-150 per day; £150-300 for both days
- Optional - You can also create a monthly contribution plan for this training, please enter your suggestion here:
- Your suggested contribution for the Training (please specify the currency, type NA if not applicable):
- Technology Fee
  
  We invite you to support the Gathering by making a contribution of $20 for both days of the training. Your contribution will go towards supporting the Center costs during this time.
- The Facility/Technology Fee amount that you wish to contribute:
  
  Other
- Golden Ticket - Extract the Power
  
  Please read about the Golden Ticket (cover costs of the Gathering, meals and events).
- I confirm that I will buy a Golden Ticket
- The Golden Ticket amount that you will pay (£100 for the entire gathering or £20 per day)

Personal Details
Name

First NameLast Name
Age
City
Country
Email
example@example.com
Profession
Phone Number (including country area code)
Do you have severe allergy reactions?

Emergency Contact Information

In case of emergency, who should be contacted?
Emergency contact name
Phone number (including country area code)

A bit about yourself
Who is your primary trainer?
Date of your Twelve Empowerments
How do you rely on the Four Mainstays?
Why do you want to participate in this Training?
Will you participate in the entire training?

A Few Background Questions

We are collecting these so we can be sure to be fully prepared to serve each participant and the group.
Do you have any physical health problems, medical conditions or diseases that might impact your ability to participate fully in the training?
Do you have, or have you ever had, any mental problems or disorders such as significant depression or anxiety, panic attacks, manic depression, schizophrenia, etc.?
Are you now taking, or have you taken any prescribed medication in the past that we should know about, for example for an emergency situations? (only required if you are applying for an onsite training).
If you answered YES to any of these questions, please contact the Facilitating Trainer/Gathering Admin so we can consider the details together. It is important for us to know so we can support you best, and your message and situation will be treated confidentially.

Terms and Conditions
Process of Approval

This is an application only, and does not guarantee participation in the Training.
1. Participation in this training depends on approval of the Trainer(s) leading the Training.
2. We strongly suggest not making travel arrangements until having received confirmation for the next indicated training.
3. Short Moments is not responsible for costs incurred due to travel bookings made.
Copyright

We want to be sure that you understand the purpose and meaning of our Copyright policy which we have copied below. Basically, we want to ensure that all people have the same access to this very high standard of education that we have developed through over 45 years of diligent research. Please do not share any of the material with anyone who is not enrolled in the Training (that includes spouse, best friend, children, parents, etc.), and especially do not share what you learn here with others in a professional context (for example, as a coach, therapist, trainer, consultant, teacher etc) without getting written permission from Short Moments. We love it if you share about the Short Moments Training and the benefits it has brought to your life, but we don't want anyone to teach it without having received the proper training. So if people you know become interested, we suggest to share your own experience and suggest that they book a call with us if they want to learn more.

Please read the full copyright here.

Confidentiality

Confidentiality is essential within the Short Moments community and training settings. Everything that is shared by participants, both in the group meeting and participant-to-participant must be kept confidential. Only in this way can everyone feel free to participate fully and share openly.

You agree that:
- you will not disclose names and any personal details of other participants,
- you will not make any personal audio or video recordings of talks or trainings or make copies including screenshots of shares in the Facebook group,
- you will not approach participants to offer them any kind of service or support.
Disclaimer

Short Moments offers the opportunity of open intelligence as the basis of living life. Short Moments is not a psychological or medical program, and does not provide therapy, counseling, or medication, nor does it make recommendations or referrals for treatment of mental or emotional issues or disorders. While Short Moments can benefit most people, it is not a substitute for professional treatment of mental or emotional issues or disorders, and it is recommended that people suffering from such issues or disorders seek treatment from a qualified professional. The undersigned acknowledges these limitations on the scope of Short Moments' programs and opportunities, and agrees to hold Short Moments and Short Moments trainers harmless from any claims of a mental, emotional or physical nature arising from their participation in any of the Short Moments Training offerings.
Here are the full Terms and Conditions
I HAVE READ AND AGREED TO THE ABOVE STATED TERMS AND CONDITIONS

Fair Processing Notice
The data that you provide will only be used by us for the purpose of processing your application and providing your training, information about how we handle your data and what your rights are can be found in our Fair Processing Notice
Email Consent

You can choose whether you would like to receive an email with a copy of your application or not.
I agree to receive an email with a copy of my application

Submit Page
Once submitted you will receive confirmation, payment details and training time details.

Thank your your participation in the retreat!

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Application for Spring 2026 Retreat with Adrian Stephens

Training Format

Contribution

Personal Details

Emergency Contact Information

A bit about yourself

A Few Background Questions

Terms and Conditions

Fair Processing Notice

Email Consent

Submit Page