Full Name

Email *

Phone *

Which of these feels closest to where you are right now? *

I am a thoughtful, curious person carrying something - physical, emotional, or unnamed - that conventional approaches haven't fully reached, and I'm ready to explore a different way of looking at it.

I am a practitioner or professional curious about this method, either for myself or for my clients.

I'm not sure I fit either of these exactly. I'll describe my situation in the box below.

Investment Confirmation *

I agree to the Early Bird price of $1,500 for a Block Booking of 8 private sessions, live, online, paid in full (until 31 January 2027; $1,800 from 1 February 2027).

If you could leave these eight sessions with one single outcome - the one that would make the whole thing worth it - what would it be? *

What life experience and work experience specifically qualify you for this? *

Why is right now the right time for you to do these sessions? *

To take part in these sessions, you'll need: - Curiosity - A quiet, private space with no interruptions - Room to move and make sound — or to choose silence - The willingness to become quiet for a while - The ability to follow guidance. Do you have these, or will you have them in place before beginning? *

Yes

I'm not sure yet - I'll explain in the box below

Is there anything you'd like to know before signing up? *

These sessions are experiential. They aren't a substitute for medical or mental health care, and it isn't the right fit for everyone at every time. Please read the list below carefully. Are any of these true for you right now? - I am in crisis, and/or having harmful thoughts - I have been advised by a doctor or therapist not to do body-based or breathing work - I am under the care of a mental health professional for a serious condition and have not checked with them about doing these sessions *

None of these apply to me right now

One or more apply, or I'm not sure (please tell us a little more below)

If you are in crisis right now, please contact your local emergency services or a crisis line first: 988 in the US, or Samaritans on 116 123 in the UK.

Understanding the Terms *

I understand that these sessions are experiential and do not replace medical or psychological care, and that I take part by my own choice. I have been given every opportunity to tell you about anything that might prevent me from joining, so I understand that payment is non-refundable and I understand that payment is made before the Client Agreement Form is signed and submitted.

Term Agreement *

I agree to my answers being used to assess whether the sessions are suitable for me at this time.

Zoom Transcript Consent *

I understand that the call is audio-recorded on Zoom, only to make a written transcript, and that no video is recorded, and I agree to this.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.