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Application - 40-hr Breathwork & Pranayama Professional Training by Laurent Roure
Application form - Spring Edition
Please note there are no wrong or right answers.
All submitted information is strictly confidential, protected by Data Protection Laws and won't be disclosed with anyone.
First Name
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Last Name
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What is your email address?
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Please provide your mobile phone number
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When did you complete your Breathwork Training with Laurent?
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What is your current Job Title/Occupation?
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Do you have a regular physical, breathwork or meditation practice?
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What support might help you succeed in this course? (Select all that apply)
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What support might help you succeed in this course? (Select all that apply)
Limited time availability
Limited access to a quiet space
Difficulty maintaining attention
English is not my first language
Health conditions (please specify in the box below)
I am neurodivergent (e.g., ADHD, Autism Spectrum Disorder)
None at this time
If you replied "health concerns" or declared a "Neurodivergent Condition" to the previous question, please specify here:
Submit