Wild Love Advanced Breathwork Practitioner Training Application

Waitlist for Embodied Breath Academy’s Wild Love Advanced Practitioner Training

This form will put you on the WAITLIST for to be the first to know about Wild Love Breathwork Training below. Please make sure you answer all questions.

Only 10 Spots & you get first dibs!

Name

First Name

Last Name

Email

Birthdate

MM

DD

YYYY

What city & country do you live in?

Are you willing to make a full commitment to yourself over the duration of the course?

Describe your relationship with yourself and with your sexuality?

Have you completed a minimum of 10 breathwork sessions? Or do you have a regular breathwork practice?

Do you currently have a meditation, yoga, breathwork or self love practice? Please describe.

Are you ready to go on a deep and profound journey with your breath?

Do you have a current or past diagnosis of any of the following:

Schizophrenia

Epilepsy

Bipolar

Depression

Anxiety

Vertigo

None of the above

If you selected any of the above please give more information:

I give permission for my email to be added to Karina's Mailing List:

Yes

No

Waitlist for Embodied Breath Academy’s Wild Love Advanced Practitioner Training

We can’t wait for you to join us.

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ARE YOU READY TO TRANSFORM LIVES?

Waitlist for Embodied Breath Academy’s Wild Love Advanced Practitioner Training

We can’t wait for you to join us.

FIND OUT MOREABOUT

ARE YOU READY TO TRANSFORM LIVES?

FIND OUT MORE
ABOUT