Full Moon
Breathwork Ceremony

Name *

First Name

Last Name

Phone *

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*

I acknowledge that by registering for this event or future events, I release Kaitlin Callahan // Jyoti Voyage from any liability. I understand that this can be an intense and deeply transformative practice, and I am participating at my own risk. I also understand that this practice is not recommended for those who are pregnant or have a history of heart disease/ high blood pressure.

I have read the above and acknowledge my understanding.

I confirm that I am 18 years of age or older.

How to Register *

1. Send $111 to @Kaitlin-Callahan-1 via Venmo (Last four digits- 0039). If you do not use venmo, please reach out directly for alternative payment options. Payment is non-refundable, however you are welcome to find someone else to take your space if necessary. 2. Read and sign waiver (copy and paste waiver link into new tab). Waiver Link: https://form.jotform.com/251345141735149

I confirm I paid Kaitlin and understand the payment is non-refundable

I confirm I have read and signed waiver.