Legal Name
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First Name
Last Name
Name you'd like to be called
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Email
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How did you learn about us?
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Which opportunities for your growth are you interested in applying for?
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Please Check all that apply.
All Offerings can be found here - TheEarthTemple.com/sacredschedule
The Sacred Circle (3-day Plant Medicine Training & Shamanic Activation)
Wild Heart's Weekend (Vision Quest in Nature)
Daughter's of The Moon (Womb.myn's Mystery School)
The Alpha Relationship (Couples work)
Sacred Travel Immersion
1x1 Mentorship & SoulCoaching
Sacred Circle Facilitator's Training (SCFT, 1 long program)
Earth Angel Activation
La Forza Sagrada
Kambo (Fire, Water, Earth, Air Ceremony)
Other
Do you have a daily meditation/mindfulness/prayer practice? Please describe. How long have you had this practice?
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What is your current relationship to spirituality, MAGIC, integration & shamanic work?
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There is no "right" answer here. This will support us in finding alignment!
Have you been hospitalized or professionally treated for any medical or psychological condition in the past 5 years?
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If yes, please explain in detail. If no, say "NO" in comment box & please continue.
Are you on ANY prescription medications? If so, what are they, quantity taken, how many times a day, and for how long have you been taking them?
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If not, just put "NO" in the box below.
How can we BEST support you at this time?
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What is your ideal step forward with The Earth Temple: Center of Prayer & School of Shamanic Arts?
We are creating a movement, a tribe of people who are interested in being totally free in their self-expression, abundant and in integrity financially, fully aligned with their soul's purpose, and living life to the maximum of their abilities and creativity, everyday. We call this movement The Tribe of Light. Do you see yourself as wanting to be/already a part of this team? If so, what do you feel your role is, at this time?
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What might be slowing you down, or filtering your full expression of self now?
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What is your current relationship with your body? What is your ideal relationship?
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Are you currently in an intimate romantic partnership? If not, do you want to be? If yes, what is the current scenario? What is your ideal scenario?
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What is your current relationship with money? What is your IDEAL relationship with money?
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What does it mean to you to go ALL IN? Do you feel you have before? If so, in what way?
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Are you willing to make an investment to create this change for yourself?
What does integrity mean to you?
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I, the signee of this application, NOW take 100% responsibility for my physical, mental, emotional, spiritual, financial, sexual, and ALL ENERGY and transactions in the relationship between myself, and anyone associated with The EarthTemple, WholeLifeNLP, and anyone associated with them, now, and always.
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I, the signee of this application, NOW take 100% responsibility for my physical, mental, emotional, spiritual, financial, sexual, and ALL ENERGY and transactions in the relationship between myself, and anyone associated with The Earth Temple & WholeLifeNLP, now and always.
Yes - 100%
No
Please *Sign* with your legal name and your birthday. This makes you the legal signee of this application & tells us that all of your answers here are your truth.
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Today's Date
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