Mentorship Form

Mentorship Application

Slow Down, Soften and Receive the Breath

Name

What are the main feelings you would like to cultivate ? *

What major changes have you been faced with over the last couple of years? What is the biggest challenge at the moment?*

If you would wave a magic wand, what would be different in your life in 6 months?*

Do you feel connected to your essence? What would make you feel more in touch with yourself? *

Do you have a personal practice? If so, how would you describe it? *

What personal support have you had prior? (Therapists, trainings, coaches)

What is the journey you are looking to co-create together ? *

Any medications, conditions or circumstances I should know about? *

Anything else we should know?

Please review and acknowledge below. RELEASE & WAIVER LIABILITY I understand that participation in this pilgrimage involves inherent risks, including but not limited to physical exertion, exposure to different climates, potential health risks, and cultural sensitivities. I assume full responsibility for my safety and well-being during the pilgrimage. I hereby release the pilgrimage organizers, its employees, agents, and affiliates from any and all liability for any loss, damage, injury, or death that may occur as a result of my participation in this pilgrimage.

Mentorship Application

Slow Down, Soften and Receive the Breath

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