Breathwork Workshop Application Form

Letting go of Stress, Worry, Overwhelm and Anxiety

This 8 week experience is for women looking for a breathwork + coaching fusion experience.

These sessions will be intimate, small group experiences of a maximum of 8 women. Join me in a safe space to heal, open and ground yourself.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
What day of the week and what time works best for you?
- Wednesday 4:00 - 5:30pm PST
- Wednesday 6:00 - 7:30pm PST
- Saturday 7:00 - 8:30am PST
- Saturday 8:30 - 10:00am PST
What is your why? What do you struggle with the most when it comes to living your best life? What do you desire to gain, to learn, by attending this workshop experience?
I guide, coach and invite you to live your most authentic life. How do you WANT to live yours? Describe it, tell me everything... When it comes to moving your body, food, career, as a woman, and in your relationships.
Have you done breathwork before? If so, tell me about it. What kind, how often, how did you feel?
Which workshop are you most interested in?
- Inner Child, Inner Critic & Your Inner Wisdom
- Breathwork to Break the Binge and End Emotional Eating
- Creating Connection & Calm for Moms
- All 3!
Are you ready to invest in your own personal growth, shift and live the life you deserve?
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