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Event Information & Application

Please fill out the application below to apply for the next Immersion Event taking place August 20th, 2022 from 8:30am to 5pm at a beachfront location in Encinitas, CA. Once the application is submitted and reviewed you will be notified if you have been accepted to attend. You will then be sent a payment link. Your payment will secure your spot at the event! - Please be as specific as possible in this application, as we have many applicants & only 12 spots available. It is important for us to determine who is the right fit for this event. - This experience will be held at a private residence in Encinitas Ca & the address will be shared after your acceptance. - The event is on August 20th from 830a - 5pm - Lunch will be provided at this event & it is recommended that you bring a snack, a notebook & a yoga mat. We also recommend that you wear comfy clothing & a change of a bathing suite. We will likely take a trip to the beach. I am inspired by your interest in accelerating your evolution & development towards wholeness & infinite truth.

Home Address
  • {name}
How did you hear about me?
What are your top 3 goals to accomplish within the next 6 months? (health / relationship / business / career / mindset etc)
  • {name}
Be honest - what do you think is holding you back from hitting these goals? (the more specific you are the better)
  • {name}
Are you committed to making this change NOW?
Do you have the financial resources available to invest in your yourself?
Have you received network care before? If yes, then with who?
  • {name}
What area of life do you feel the most challenged with?
What type of pain do you relate with most?
What are you afraid of?
  • {name}
What are you most excited about right now?
  • {name}
What are you angry about? Or who are you angry at?
  • {name}
What are your top 3 daily frustrations?
  • {name}
How can I best support you right now?
  • {name}
Tell me about your most awakening, transformative experience you have experienced.
  • {name}
Please provide any additional thoughts or concerns that would be helpful for me to understand your current situation?
  • {name}
What are your expectations for this event?
  • {name}
Do I have your permission to hold you to your highest self?
Do you have any food sensitivities? (list any below)
  • {name}
Check This Box If You Consent To Care
Check This Box If You Consent to photos & videos being taken & shared at this event.
Check this box to acknowledge & accept the risk of Covid 19 while attending events during an outbreak & take full responsibility for your wellbeing.
Check this box to commit to canceling your participation in this event if you happen to be experiencing signs or symptoms of Covid 19 prior to our event date.
If you are not accepted to participate in this event due to high demand and limited space, would you be open to participating in future events?

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