Kundalini Energetic Activation Facilitator Training Application

THE APPLICATION PROCESS :

1. Fill this Form with intentional presence so we can feel your energy and care

2. Book a connection call with Jasmine to explore if this initiation is a right fit for you at this time

3. If aligned, within 48h of the call, you'll Receive an invitation to start the journey w instructions

In PERSON Event Dates 2026: includes meals + accommodation + mentorship

𓂀 JANUARY 1-8, 2026 ; Luxor , EGYPT Pilgrimage for initiated KA practitioners

🦋 MARCH 8-15th, 2026 ; San Luis, Costa Rica

🏜️ MAY 8-15, 2026: Sedona, Arizona

Contact : whats app # 1-775-830-9509 or [email protected]

Full Name *

Phone *

Email *

Instagram Handle

Your Facebook & Website links

Where were you born and where do you live ? *

How did you find out about me / this training? *

Which Training(s) are you interested in? *

Online ENGLISH - November 2025 or February 2026

Egypt Pilgrimage Cairos, Luxor & Aswan- January 1-8th 2026

San Luis , Costa Rica - In Person 7 Day Intensive - March 8-15 , 2026

Tell us about you! Where you're from, your personal journey with healing and your experience with receiving and sharing healing arts *

What are your tools when feeling dysregulated? ? *

What is your experience being in group settings for the purpose of healing and reconnection? *

What is driving you to say "YES" to this program? What do you hope to receive from this program? Who do want to become after this training? *

What are you working on in your life? *

What is your relationship to kundalini energy? *

Can you commit to attending the full training and giving this container your all? *

Yes, I'm confident I can commit to giving it 100% !

Yes, but I'm not sure I can give it my all...

I'll commit to most days, but not all

No

Does the schedule of the training work for you ? If not, please give your preferred availability schedule below. *

What is a facilitator to you ? How do you desire to show up in that way? *

Have you ever been in a Kundalini Activation session (not kundalini yoga) before? *

Are you certified in Reiki or any other energy modalities? Do you already offer healing arts sessions? Do you already teach yoga or movement arts? *

How is your Health and Body? Are you currently taking any medications Or pregnant Or have been diagnosed with physical or mental condition? Do you have any injury or medications I shall know about? *

Is there anything else you'd like me to know? *

Would you like to subscribe to our mailing list for updates on upcoming events? *

Yes

No

I consent to receive transactional messages.