Level 1 Training Registration

Your Full Name

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Year of Birth

Which program are you registering for?

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I have read the info about the 21-day Practicum on the course page, and I understand that the Practicum runs from April 22 - May 12.

Yes

Will you be paying via e-transfer (Bryarly@EarthNectar.ca) or credit card? E-transfer is preferred as credit card charges 3%, but pay however is convenient for you.

Will you be paying in full or in 2 installments?

Your Social Media Channels

If you'd like to connect on social media

Current Vocation

Do you have children?

Yes

Rather not say

Current Practices

What do you currently do to support your wellbeing (physical/emotional/spiritual practices)?

If not already mentioned above, what experience do you have with Tantra, meditation, yoga, or other wellness practices, if any?

What do you hope to gain/experience/learn by attending the Level 1 Tantra Practitioner Training?

Are you interested in taking Levels 2 and 3 of the Tantra Practitioner Training in future?

What are the current main stressors in your life? What would you love to shift (if not already mentioned above)?

Have you experienced any form of sexual, physical, or emotional abuse?

Yes

Rather not say

If yes to the previous question, and if you feel it important to share, please briefly explain. This information is kept strictly confidential and is only asked so we can better support you; it is not required.

Please let us know if you have any impairments, illnesses, infections, recent surgeries or injuries (less than a year ago):

We will be doing physically active practices such as dance, breathwork, and dynamic meditation. There will also be physical non-sexual contact between participants (e.g. hugging, hand-to-skin contact). Participants with health concerns should consult their doctor before registering.

NOTHING
mental illness or panic attacks
recent surgery (less than 1 year ago)
cardiovascular disease
skin infection transmitted by contact
communicable infection, including STIs
spinal injuries, fractures of the pelvic bones and lower extremities, traumatic brain injuries
other (specify below)

If you answered Other to the question above, please specify any other disorders or bodily issues that the trainer should be aware of.

Are you currently pregnant? If so, congratulations! And which month of pregnancy are you in?

This will help us to suggest modifications

Are you presently taking any medications? If so, please name them.

Is there anything else you would like to share about yourself? (It could be personal pronouns you want us to use, for example, special needs, or anything else you want the trainer to be aware of.)

Name and Phone Number of Emergency Contact

How did you hear about the training?

Do you agree to receive electronic communications from Bryarly McEachern at Earth Nectar?

You can unsubscribe at any time, either by sending Bryarly@EarthNectar.ca a direct email with subject Unsubscribe, or by clicking the Unsubscribe link at the bottom of any newsletter.

Yes I agree to receive electronic communications from Bryarly McEachern at Earth Nectar.

Please read, understand and agree to our Terms and Conditions and Privacy Policy in its entirety before submitting your registration form for the Event. The sections include: Informed Voluntary Consent; Confidentiality; Photo, Video and Audio Recording Is Prohibited; Privacy Policy; Payment Policy; and Cancellation Policy

Click Terms and Conditions and Privacy Policy to view. I certify that I have fully read, understand and I agree with all points in the Terms and Conditions and Privacy Policy.

PHOTO AND VIDEO CONSENT
Before the Event starts, we will give you a form where you can specify whether or not you give the trainer/Event Organizers permission to take photos/videos of you in non-intimate practices for promotional purposes.

OTHER PROGRAM DETAILS

Program price:

The 3-Day Training is CAD $900 (or pay in 2 instalments of $450 each). (Or USD $665)

The 21-Day Practicum/Certification is an additional CAD $150. (Or USD $110)

Two scholarship spots are available for this trainng, so inquire if financial aid is needed.

Program location: A private home in Chelsea, QC, used for ceremonies and trainings. Address provided after registration.

Program schedule:

DAY 1

9:30-9:50 am Arrive and Sign-In

9:55 am Opening and Morning Session

1:30 pm Lunch

2:30-6:00 pm Afternoon Session

Two 15-minute tea breaks per day, one during the morning session; one during the afternoon session.

DAYS 2 & 3

9:30 am - 1:30 pm Morning Session
1:30 pm Lunch
2:30-6:00 pm Afternoon Session

Two 15-minute tea breaks per day, one during the morning session; one during the afternoon session.

21-DAY PRACTICUM FOR CERTIFICATION
Dates: April 22 - May 12, 2024
What: Students going for certification must practice 3 of the taught Tantra meditations at least 3 times each. 1 meditation is assigned per week. It is ideal if students can do each meditation for 7 consecutive days for a deeper more transformative experience, but that is not required.
Where: Online group practice via Zoom, combined with your solo practice at home
Times: The online facilitation time slots will depend on students' availability; a range of time slots will be offered. Students are only obligated to attend the online group practice on the day they are facilitating; however, more regular attendance is encouraged so fellow students are supported in their practicum.

Accommodations: This is a non-residential training, so please arrange your own accommodations; if you are coming from afar, there are several bed and breakfasts in Chelsea, Quebec, as well as AirBNBs.
Food: Please bring your own lunch/snacks as food is not provided.
Payment is due upon registration. You can pay via e-transfer to Bryarly@EarthNectar.ca, or via the Pay By Card link that appears after submitting your registration form. For us e-transfer is preferable because we're charged 3% on credit card transactions, but do what works best for you.
Self-Responsibility: We will be doing active practices such as breathwork, dynamic meditations, dance, massage, and other embodiment exercises, which can be both physically and emotionally stimulating. If you have any mental or physical health concerns that could be aggravated by your participation at this training, please consult your doctor before choosing to attend. Ask Bryarly for clarification about the practices if you have questions.
Please make sure you are committed to attending the whole training before registering and submitting your payment. This will help to ensure that all students feel safely held in the sacred space we create.
After you make your full payment, within 2 business days we will send you an email confirming your enrollment. Save Bryarly@EarthNectar.ca in your contacts. We will send participants an orientation email with directions to the venue, a list of what to bring, and other pertinent details 2 weeks before the training begins.
Enrollment will be capped at 9 participants.

Cancellation Policy for Tantra Practitioner Trainings:

Cancellation requests must be emailed to Bryarly@EarthNectar.ca.
Cancellation requests received more than 60 days before the start of the program will receive a 50% refund and 50% credit towards future programs within 1 year.
Cancellation requests received between 60 and 30 days before the program start date are eligible for a full credit towards future programs within 1 year, minus a $50 processing fee.
Cancellation requests received less than 30 days before the start of the program will not be eligible for a refund. Exceptional circumstances may be considered by the organizer.
In the circumstance of the event being cancelled, all registrants will receive a full refund.

CONFIRM AGREEMENT WITH OTHER PROGRAM DETAILS

I have read, understand, and agree with the Other Program Details mentioned above.