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Kundalini Activation Intake Form

Hi beautiful soul,


Thank you for registering your interest in my upcoming Kundalini Activation training, incorporating Indian Energetics, shared through a trauma-aware lens with insights on the nervous system. It will be an amalgamation of science and spirituality to serve your clients for their highest good, ethically and empathetically. This training is designed for those who are already working with energy, somatic work, psychics, space holders and those who want to deepen their offering.


Through this process of embodying the frequency, you will also be transformed, and your life will begin to reflect those changes both inwardly and outwardly. This training is a journey, not a destination.


The truthful information you share in this form is incredibly important to me, to help gauge if you are ready to do the deep self-work it will involve, and be prepared to hold trauma-aware spaces to aid in your future clients transformation.


Once you have completed the form, please book in for your free connection call via this link: FREE CONNECTION CALL.


Love always,

Monique | Ma Mani Padma

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What type of learner are you?
This Kundalini Facilitator training will require a high level of 1:1 support. For this reason, the practitioner training is valued at $3500 - $5000, depending on the level of concentrated support you need. Are you financially ready to commit to this?

Health Waiver & Release

KUNDALINI ACTIVATION FACILITATOR TRAINING


PARTICIPANT HEALTH DECLARATION & CONSENT

As a participant in this Kundalini Activation Facilitator Training, I acknowledge that I will be engaging in powerful energetic, somatic, emotional, and spiritual practices that may create profound shifts in my awareness, wellbeing, and personal growth.

I understand that experiences during and after the training may include emotional release, physical sensations, energetic movement, heightened awareness, changes in perception, and the surfacing of unresolved emotions, memories, or beliefs.


By signing below, I confirm the following:

• I am participating voluntarily and take full responsibility for my physical, mental, emotional, and spiritual wellbeing throughout the training.


• To the best of my knowledge, I am physically, mentally, and emotionally capable of participating in this training.


• I am not currently experiencing any serious medical, psychiatric, or psychological condition that may make participation unsafe, including active psychosis, untreated or unstable Bipolar Disorder, schizophrenia, uncontrolled epilepsy, seizure disorders, or serious heart conditions.


• If I have any medical, psychological, or mental health concerns, I have sought appropriate professional advice regarding my participation.


• I understand that Kundalini Activation may bring awareness to unresolved emotional experiences or trauma, and I accept responsibility for seeking additional professional support if required.


• I agree to communicate with the facilitator if I feel overwhelmed, distressed, unwell, or need additional support, and understand that I may pause or discontinue participation at any time.


• I agree not to participate while under the influence of alcohol, recreational drugs, or any substance that may impair my judgement, awareness, or safety.


• I understand that this training is offered as an educational and personal development experience and is not intended to diagnose, treat, cure, or prevent any medical, psychological, or psychiatric condition.


• I understand that no specific outcome, healing result, spiritual experience, or level of awakening can be guaranteed.


By signing this agreement, I acknowledge that I have read and understood the information above, have had the opportunity to ask questions, and freely choose to participate in this training.

I release the facilitators, trainers, assistants, organisers, and venue providers from liability for any injury, loss, or adverse experience that may arise from my participation, except where required by law.

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Monique Elouise Anahata Ascension Clarity Manifesting
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