Level 1 Training Registration

Your Full Name

What name do you like to be called?

Your Email

Your Phone Number

Year of Birth

Which program are you registering for?

Select from dropdown

Which 21-Day Practicum do you wish to sign up for?

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Will you be paying via e-transfer (Bryarly@EarthNectar.ca) or credit card (note there is a 3% surcharge)?

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 willing, 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
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.

LEAVING THE EVENT

I agree not to leave a practice or leave the Event without first talking to the trainer or Event Organizer.

PHOTOS AND VIDEOS FOR USE BY EVENT ORGANIZERS

During the Event, the organizing team can take photos and videos of me, except during intimate practices, and I consent to the use of my photos and videos solely by the organizers in their future promotional materials, social media, and manuals. I understand that all participants have the opportunity to view photos before publication.

I agree

I disagree

Other (explain below)

EXPLAIN OTHER PHOTO AND VIDEO USE

If you clicked Other above, please explain what you agree to in terms of the Event organizers taking photos and videos of you at the Event and using those photos and videos after the Event. Or type N/A.

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 PRACTICUMS FOR CERTIFICATION, CHOOSE 1 OF 2 OPTIONS (OR BOTH):
December 2 - 22, 2024; online group practice at 6:30 - 7:50 pm EST
January 14 - February 4, 2025; online group practice at 6:30 - 7:50 pm EST
Students practice a Tantra meditation/practice daily for 21 days and facilitate at least one 1 hr 20 minute online class while completing 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.