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Registrant information

Please write a few sentences about your interest in workshops

Please describe the extent of your breathwork experience, including what types(s) of breathwork


Health cautions

The Breathwork experience can involve dramatic experiences accompanied by powerful emotional and physical release. Pregnancy, cardiovascular disease, severe hypertension, a family history of an​eu​rysms, recent surgery or fractures, infectious disease, seizure disorder, or certain psychiatric conditions are contraindications. So we can advise you properly about this, please answer the following questions. Your personal data are encrypted and protected; all your answers will be kept confidential. Your information will help us create a safe setting for this experience. If you have any questions before registering, please contact us: contact@dreamshadow.com.

Dreamshadow Transpersonal Breathwork is deeply experiential and may involve intense and energetic emotional release. Workshops do not substitute for psychotherapy, but can significantly deepen and enhance psychotherapy and other healing and personal growth efforts.


Do you have any of the following?

Please explain any Yes answers in the Additional information field at the end of the section.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Please explain any Yes answers to the above or enter "None"


Please answer the following questions

Please explain any Yes answers in the Additional information field at the end of the section.
 
 
 
 

If you do, please bring your inhaler and call our attention to it at the workshop.

 
 
 
 
 
 

If yes, please specify in the Additional information field at the end of the section.

 
 
 
 
 
 

Please explain any Yes answers to the above or enter "None"

Vegetarian, gluten-free, allergies, or any other or enter "None"

Name, phone number, and relationship to you.


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