First provide your Legal Name, then tell us your chosen name.
First Name
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Last Name
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Chosen Name
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Email
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Phone
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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? *. Please Check all that apply.
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The Sacred Circle (3-day Plant Medicine Training & Shamanic Activation)
O2 (Orgasmic Oracles)
Daughter's of The Moon (Womb.myn's Mystery School)
1x1 Mentorship & SoulCoaching
Expression and Vocal Coaching with Raven
Wombyn's Kambo Training
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? * If yes, please explain in detail. If no, say "NO" in comment box & please continue.
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What is your current relationship with your body? What is your ideal relationship? *
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What is your current relationship with money? What is your IDEAL relationship with money? *
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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 might be slowing you down, or filtering your full expression of self now? *
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How can we BEST support you at this time? * What is your ideal step forward with The Earth Temple: Center of Prayer & School of Shamanic Arts?
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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 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?
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What does integrity mean to you? *
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Have you been hospitalized or professionally treated for any medical or psychological condition in the past 5 years?
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? * If not, just put "NO" in the box below.
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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. * 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.
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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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Submit