Participant Application

Sacred Embodiment Has Closed for 2020

However, please feel welcome to complete an application as an Expression of Interest for 2021.

Thank you again and I hope that we can work together soon.



Application Form

Please Note: This website is secure and your information will not be used for any reason other than assessing your application for the program you are applying for. If you have any questions about why certain information is required, please feel welcome to contact me at

10. Are you committed to your own healing and willing to take responsibility for putting in the work that needs to be done to reach your desired changes? (HINT: I need you to select 'YES' if we are going to work together)

Have you been diagnosed with any mental health conditions? (PLEASE NOTE: This does NOT impact your application, however, it is important for me to be aware so I can best understand your needs)


11 + 14 =

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