Going Beyond Course - Application for Work with Teacher

Apply for work with a teacher here.

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My first choice for First Steps teacher:

I'd rather not choose, I'd like Mary to connect me with a teacher:

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Name

Street Address or P. O. Box

(Apartment Number)

City

State

Zip

Country

E-mail Address

Web Site URL (if any)

Telephone # (include area code)

What is your previous experience with meditation or body work? Describe below.

Are there circumstances in your life that might be important for us to know (family or health stressors) If so, please explain below:

I understand that meditation teachers are not therapists and that it is my process that guides our work. I am free to accept or reject any suggestions the teacher makes in this four session course. I will be open to the process and trust my own heart to know what is in my best interest.

Name
Street Address or P. O. Box
(Apartment Number)
City
State
Zip
Country
E-mail Address
Web Site URL (if any)
Telephone # (include area code)

I understand that meditation teachers are not therapists and that it is my process that guides our work. I am free to accept or reject any suggestions the teacher makes in this four session course. I will be open to the process and trust my own heart to know what is in my best interest.