energy orgasm practitioner certification application form

Thank you so much for your interest in Practitioner Certification Program!

Please fill out this form so I can learn more about you and your professional background. I’ll will respond back within 2-3 days, and if this program is a good fit for you, I’ll give you a link to book a Discovery Call with me so we can review the next steps in more detail.

Please leave your best email address below so I can contact you. Thanks again for your interest! Can’t wait to connect soon!

Full Name

Phone Number

How did you discover me?

What are your Social Media handles?

What are the goals you'd like to achieve when it comes to Personal Transformation and Practitioner Training?

What are your challenges with the above?

Why do you feel called to take Energy Orgasms Practitioner Certification program, and how do you think working with me can help you reach these goals?

Please let me know why you think you'd be a good fit for the Energy Orgasm Practitioner Certification Program (please input relevant work and educational experience

Please upload your CV below or email to [email protected]

If you knew that this program would give you everything you need to reach your goals, what would you be willing to invest?

$5,200 USD (Foundational Modules 1 & 2) + $3,950 USD (Emotional Release Client Work Add On Module 3) + $2,950 USD (Long Distance EO Facilitation Add On Module 4) + Would love to learn about other Add On Modules

What is your level of commitment in working with me?

Just curious I would like to know more I'm in, but have a few questions I'm 100% committed

Please let me know what your questions and hesitations (if you have any) might be about enrolling into the program

Thank you SO MUCH for filling out this form! You’re incredible!!

energy orgasm practitioner certification application form

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