REGISTRATION INFORMATION FOR
1 . If this is your first time doing Holotropic Breathwork or participating in our groups, I would like to speak to you on the phone prior to
registering and payment.
Please call me at 415.336.13.50 and leave some good times I can reach you
Once we have spoken or if you are a returning participant follow the next steps :
To reserve a space at the workshop:
Mail or email the registration and medical forms attached below, and your payment with the full workshop fee (unless other agreements have been made).
Please note that due to the limited space in the workshops we will confirm your place once we receive your registration payment.
A week before the workshop you will receive a letter with all the
details for the workshop. i.e. what to bring, how to prepare,
directions to the workshop location, etc.
If cancellation occurs three weeks or more from the workshop, remaining fee may be returned (minus a $35.00 non refundable admin fee).
Within less time a participant's fee may be applied to another workshop within a year of the registration date. For cancellations five days before the workshop, there will be no refunds or applications of funds to future workshops. The only exception is if you have come in contact with someone with COVID the week of our meeting or have any sign of any symptoms. In which your payment will be applied to another session.
COVID Requirement: Please take a test on the morning night before our session and I will do the same.
Thank you for your understanding !
Mail a check to:
1585 62nd Street, P.O Box #8562
Emeryville , Ca. 94662
Or you may pay with credit card through paypal below (you don't need to have a Paypal account to use this payment form). Please add the paypal fee.
If you are registering with a student or previously agreed payment plan, please don't use paypal and mail a check to the address above.
Workshop forms :
Please fill in the following forms and mail them with your registration check or email them to firstname.lastname@example.org:
If you have attended other workshops with me and nothing has changed you can sign in
on the day of the workshop.
Only required for first time participants to my groups
One-day workshops :
$350.00 Registration -
Includes a preparation and an integration call.
Private Holotropic Breathwork sessions :
Sliding scale $485.00 - $650.00
Includes check in call before session and
a 40 mins integration phone session one week after.
Session is about a 3 to 4 hour time
Private sessions are in Nevada City , Ca
Two friend/couple individual HB session :
(when both breathe at the same time)
$800 for two people
Private "Healing breath & emotional release" individual session
$350.00 (2 - 2.30 hour)
These sessions are shorter then a traditional HB session focusing on emotional release through our
emotional and physical body
80 minute creative/psycho-spiritual
integration sessions: $250.00
55 minute creative/psycho-spiritual
integration session: $200.00
3 Integration session bundle:
$525 (80 minutes each)
$400 (55 minutes each)
5 Integration session bundle:
$850 (80 minutes each)
$ 600.00 (55 minutes each)
10 integration session package:
$1650.00 (80 minutes) $ (55 minutes)
PayPal links ...
Thank you for you financial contribution!
If you can't find the agreed amount you can directly
do it to email@example.com
Financial contribution $350 (Includes light dinner, preparation call before and integration call one week later)
PLEASE note in your pay pal payment the date of the workshop you are registering for and check in with me to make sure there is space. Thank you!!!!
Individual private Holotropic Breathwork session
Individual Holotropic Breathwork - Includes a 40 minute preparation call before the session and a 40 min integration call one week after the session . Sliding scale $450 to $595
(You may add up to 3 more integration sessions for $75 each to this bulk amount if you feel called)