Training Application

The $300 Deposit is non-refundable. If you withdraw your application or terminate your enrollment, the deposit is retained.

First Name *

Last Name *

Phone *

City *

State *

Country *

Postal code

Address *

Date of Birth *

Email *

Why do you want to take this training? *

Please include your experience (if any) with Polarity Therapy modes of energy healing, as a client or practitioner.

What is your professional background? *

Please include any professional licenses or certifications, degrees or other job training that might apply.

What resources do you turn to for support? What helps you move forward greater physical, mental, emotional or spiritual wellness? *

Have you had any challenges (past or present) that might be important to share (trauma, conditions, difficulties)? What are you currently working on healing in your personal growth process? *

Are you wishing to transfer credits in? Please describe any other polarity schools you have attended, classes taken, and credentials received, if you wish to transfer credits in or wish to audit the courses as continuing education. *

I am applying for: *

Beginner

Intermediate

Advanced

Certification

Which path do you plan to take to complete your training? *

Professional Certification Path - Live Zoom Course & Attend Practicum

Non-Certification Path- Self-paced, Pre-recorded Sessions- Completion Diploma

A $300 deposit is required to hold a place in the class with the application. If payment is not made, the application is not submitted for review. If for some reason your application is declined, your deposit will be refunded to you in full. *

$ 300

Digital Signature

Clear

I have read, understand and agree to the contents of the Student Policy Handbook as well as the Informed Consent including the Video Release Waiver as a condition of my enrollment. I understand that all classes are recorded according to the terms. I agree to Polarity Therapy Institute Terms & Conditions and Privacy Policy.

Opt-In for Text Messaging

I would like to receive text communications from Polarity Therapy Institute. I understand that I can opt out at anytime by replying STOP.