Welcome and thank you for choosing to study with us.To start the enrolment process, please complete the application form below. Bianca will contact you with next steps. If you have questions, comments or feedback, please contact me. Name * First Name Last Name Email * How long have you been practicing Kinesiology for? * Where did you study and when? * How long did you study for? * What kind of Kinesiology did you study? * Do you use finger modes? * Yes No Why are you interested in joining this program? * What are you expectations from this program? * What are you hoping to achieve by being a part of this group? * Are you able to attend 2 x 2 hour teaching/mentoring calls a month on a Wednesday night for 6 months? * Yes No Previous Training - please list any other modalities you re trained in. * In past group workshops or trainings that you have attended, what have been the main problems or issues that you have incurred if any? * Terms and Conditions * By signing and submitting this form to reserve your place in the Shamanic Kinesiology® 6-month Mentorship Program, you are indicating that you have read and agreed to these terms and conditions. Your investment: Your investment for the 6 month training and mentoring program is $4,888 which also includes the opening and closing Plant Spirit Ceremonies. A deposit of $888.00 is required upon enrolment to confirm and secure your booking. 5 monthly payments of $800.00 are due monthly thereafter. Your reservation for your place in the event will be considered accepted upon receipt of either a $888.00 deposit, or payment of the amount in full. If you cancel and withdraw from the program your deposit is non-refundable. All monthly payments beginning from 1st June must be received on or before the 1st of every month. Late payments or non-payments will result in you being removed from the program. If you pay in full at time of enrolment and then decide to withdraw from the program, a deposit of $888.00 will be payable and the balance remaining of $4,000.00 will be refunded to you. If you withdraw from the program after the 1st June, a further payment of $800.00 will be payable and the balance remaining will be refunded. All information, techniques taught, and advice given, are intended for information purposes only. It is not intended to replace the services of your physician, or to provide an alternative to professional medical diagnosis or treatment. It is not intended to provide an alternative to all other relevant professional advice. It’s not intended to take you away from your current health programme. It is not intended to diagnose, treat, cure or prevent any disease or condition. If you think you have any type of medical condition you must seek advice from your physician. You should always consult your physician and other relevant professionals before taking any advice from us, practising any technique or applying any information from us. The copyright for any live and/or online presentation, all provided teaching modules and protocols are owned solely by or licensed to Shamanic Kinesiology. This material is provided for your personal use and development only. It may not be sold, shared without express written permission, or used in any way that competes with our business interests. If you have any questions or concerns about what constitutes appropriate use, please email Bianca at info@biancajewell.com Shamanic Kinesiology® Space Holders and Helpers are not responsible and have no liability whatsoever for any damage, injury or negative effects relating in any way to the participation in, and application of information provided by our training programs and events. By submitting this form you agree to these terms and conditions and to the above payment plan. I agree I don't agree Your application form for the Shamanic Kinesiology Mentorship program has been received, thank you! Bianca will be in contact as soon as possible to discuss your application.
