LIATI Mastering Breathwork Application

APPLY FOR MASTERING BREATHWORK TT

PLEASE TELL US A LITTLE ABOUT YOURSELF.

Deposit Options

Please select your best method of payment. $750 Secures Your Spot.

LIATI Mastering Breathwork Teacher Training

Zelle: Please send payments to thespiritroot@gmail.com via Zelle

Name

First Name

Last Name

Have you been on retreat with The Spirit Root or worked with Jenny in the past?

Which level of TT are you interested in?

Please select your commitment level

Prerequisites Only (Complimentary) - I just need a retreat!

LIATI Mastering Breathwork Only ($999)

Full LIATI/5 PILLARS TT - Current Student ($1299)

LIATI TT Hybrid ($2450)

Other

Breathwork Experience

Please tell us about your experience with Breathwork and mediation.

Please tell us about your self care practices?

What tools do you use to stay healthy?

Are you currently seeing wither a psychologist or psychiatrist?

Yes

If yes, please tell us more:

Have you ever been under the care of a psychologist or psychiatrist? If yes, please tell us more.

Have you ever been hospitalized for psychiatric care? If yes, please tell us more.

Are you currently taking any medications?

Any allergies we should know about?

Room Request

Please let us know which room you prefer and if you will have a roommate. We will do our best to honor your first request.

Anything else you would like to share?