Training Application

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Please only apply if you are ready to commit to the program. The $300 deposit is non-refundable. If you choose to withdraw your application or cancel your enrollment at any time, your deposit will be retained.

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Occasionally we receive applicantions from persons who are not a good fit for our training; if you are not accepted into the program by us, your deposit will be refunded in full.

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If you're unsure whether the program is the right fit, we strongly encourage you to schedule a free information session before applying. Email us at [email protected] or text 415-294-0075 to set one up.

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An interview is required for admission. If you haven't had one before submitting your application, we’ll follow up to schedule it before making a decision.

First Name *

Last Name *

Email *

Address

Street Address *

City *

State *

Country *

Postal Code *

Phone *

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.

Do you have any past or present challenges—such as trauma, health conditions, or major life stressors—that may be relevant for us to know? What are you currently working on in your personal healing or growth process? Please give us a sense of your healing journey and what resources you turn to for support.

It's important to know this is a professional training that involves trauma-informed material and hands-on work, but it is not a personal growth workshop. It is a professional training that demands a degree of resilience and readiness to work with others. If you experience strong trauma responses (such as fight/flight/freeze/dissociation/shock), in a therapeutic context involving touch, this is not the right training for you. All participants must be capable of maintaining presence, self-regulation, and respectful interaction with others. You should be able to trade sessions in class with people of all gender expressions.

Do you require any accommodations to support your learning during this training? If so, please describe your needs briefly below or let us know privately. We’re committed to providing an inclusive and supportive learning environment for all participants.

Give us a sense of your educational background, including any relevant trainings or other Polarity classes you have taken.

If you intend to transer any Polarity credits, please indicate so.

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

By submitting this application, I acknowledge the following: *

I understand that this training involves physical touch and an in-person practicum that includes exchanges of hands-on sessions with other students. I understand that a degree of self-regulation and emotional resilience is required to participate in this training, and I affirm that I have the internal and external support needed to engage responsibly in this work. I agree to follow all safety and ethical guidelines provided by instructors when practicing the role of practitioner, including respecting student boundaries, using appropriate and consensual touch, and seeking clarification if I am ever uncertain about a technique or protocol. I understand that I may withdraw consent to receive touch at any time, and I am responsible for clearly communicating my boundaries to the teaching staff or peers. I acknowledge that the training may bring up physical, emotional, or energetic experiences, and I affirm that I have adequate outside support (e.g., therapeutic, medical, or peer-based) to help me integrate this work outside of class. I understand in class experiences are for practitioner training purposes only and not designed to support individual therapeutic experiences when in the client role. I understand it is my responsibility to monitor my own experience and to interrupt or pause a session if I feel pain, persistent discomfort, nervous system or emotional overwhelm and to request support from the teaching staff immediately.

Release of Liability:

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I understand that participation in this training is voluntary and for educational purposes only. It is not a substitute for psychotherapy, medical care, or crisis intervention. By enrolling, I agree to take full responsibility for my physical, mental, and emotional well-being throughout the program.

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I hereby release and hold harmless the Polarity Therapy Institute, its directors, faculty, staff, assistants, and fellow students from any and all claims, liabilities, or damages arising from my participation in the training, including but not limited to physical, emotional, or psychological effects resulting from hands-on exchanges, group learning, or related activities.

*

I acknowledge that I have read, understood, and agreed to the expectations outlined above, and that I am participating of my own free will.

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.