Breath Program Form – Embodied Humans

Name *

First

Last

Are you a new NAI’A student? *

Yes
No

If NO, what other programs have you completed with us and when did you last graduate? *

Are you applying as a student of life (for personal development) or as a student who wants to be certified? *

student of life
certification

What is your professional background? *

Do you have an active yoga, meditation or breathwork practice? *

Yes
No

If so, please tell us how long you have been practicing for each type of discipline, what styles you practice and how many days and hours per week you practice. *

What motivated you to apply to this program? *

What is your intention upon being certified? How do you envision yourself including this work in your practice/career? *

Choose your Accommodation Option *

4-6 people dorm – $1695 USD
Double Occupancy – $1925 USD
Single Occupancy – We will notify you of space and pricing

I agree *

Once admitted into the program, you have 9 months from the beginning of our training camp to finish your certification missions. Check the box so we know you are aware of this!

I have read the cancellation and refund policy and agree to abide by it. *

A $500 non-refundable deposit must be made upon application. The full cost of your lodging and housing in Mexico must be paid before April 21, 2023. You can pay your tuition cost in 1, 3 or 6 or 8 installments. You can cancel the training program anytime 60 days prior to the beginning of the Mexico camp for a full refund. Registrations or cancellations made 30-60 days before the start of the Mexico camp will incur 50% charges no matter what installment plan you have chosen, the rest will be refunded. Registrations or cancellations made 30 days or less before the start of the Mexico camp will incur 50% charges and the balance can be used as a credit for any other courses, programs or coaching with NAI’A but no refund will be emitted. This means that if you choose a 9-month installment plan, have booked on DEC 21 and cancel on April 15th, you will be charged the full amount of the training program with an applicable credit.

Choose your Package