VIDYA Breathwork Certification Application

Now is your time.

Enter all details below and we will be in touch to let you know your application has been accepted.

First Name *

Last Name *

Phone *

Email *

Instagram *

Facebook *

Date of birth *

Street Address *

City

State

Country

Postal code

Why do you want to be part of VIDYA Breathwork facilitation? *

How do you currently practice self-care, grounding or energy management? *

What prior experience, if any, do you have with Breathwork, healing, or facilitation? *

How comfortable are you with leading and holding space for others in an emotional or healing context? *

In what ways do you hope to grow personally and professionally through this training experience? *

What are your current goals? Personal? Business? Life? Family? Health? Relationships? Money? *

What unique qualities and strengths would you bring to the VIDYA community? *

What do you currently do for work? Run your own business or employed? *

If you had to express in writing what your intuition is trying to tell what you would you say? *

Anything else you'd like us to know about you? *

How would you like to pay for this certification? *

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