Sacred Centers

SACRED CENTERS Spring Immersion 2012 Application

Thank you for your interest in our Sacred Centers Spring Immersion 2012. We are pleased to have you join us for our 6th Immersion! To help you register, we need some information from you. Please fill out required questions below. Based on your answers, we will determine if you have the necessary pre-requisite courses as well as compute your costs for lodging, meals, and workshops. We will then send you an email to let you know your acceptance and the amount owed. Please understand that class sizes are limited, and registrants will be admitted on a first come first served basis, with preference for those in the Sacred Centers Certification Program. All others will be kept on a waiting list. Don't delay!

 

 
1.

Please tell us who you are and give us your contact info: (In case we need to reach you and to also email your invoice): 

 


By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Country:

2.

Are you currently enrolled in the Sacred Centers Certification Program? If so, which track? 

 

 

 

 

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3.

Which workshops are you interested in attending at the Spring Immersion? (Note: some workshops occur simultaneously and a couple require pre-requisites). The first 2 workshops are off campus locations.

 

 

Exploring Psyche & Soma: Creative & Healing States of Consciousness Selene Vega, PhD, LMFT - 14 CEU's $325
Sacred Leadership Lynne Michelson, MSW, LCSW, CPCC - 14 CEU's $325
Guiding the Journey: Facilitating Transformative Experiences Selene Vega, PhD, LMFT - 30 CEU's $550 (Mon. 9:30am, 5/7 - Fri. 4pm, 5/11)
Energy Awareness I: Awaken Your Untapped Mind Glenn Hartelius, PhD - 14 CEU's $325 (Sun. 7pm, 5/6 - Tues. 12:30pm, 5/8)
Energy Awareness II: Living the Energy World Glenn Hartelius, PhD - 18 CEU's $395 (Tues. 3pm, 5/8 - Fri. 12:30pm, 5/11)
Energy Awareness III: Clearing Energy Glenn Hartelius, PhD - 18 CEU's $395 (Sat. 9:30am, 5/12 - Mon. 4pm, 5/14)
Chakra Yoga Teacher Training Tulasi Jordan, LCSW, ERYT-500 - 27 CEU's $450 (Sat. 9:30am, 5/12 - Wed. 4pm, 5/15)
Techniques of Mind-Body Integration: Level 1 Anodea Judith, PhD - 30 CEU's $550 (Mon. 9:30am, 5/7 - Fri. 4pm, 5/11)
Mind-Body Chakra Therapy: Level 2 Anodea Judith, PhD - 30 CEU's $550 (Mon. 9:30am, 5/14 - Thurs. 4pm, 5/17)
ChakraBody Works: The Fundamentals Jason Auer-Sears - 18 CEU's $395 (Tues. 9:30am, 5/15 - Thurs. 4pm, 5/17)
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4.

If applying for CHAKRA YOGA TEACHER TRAINING, please describe your current level of yoga experience and practice.

 

 

 

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5.

What core Sacred Centers courses have you taken already?

 

 

7 Wonders of the Soul
Energy Awareness I - required for Energy Awareness II
Energy Awareness II - required for Energy Awareness III
Chakra Awakening or Psychology of Chakras (7-day) - required for Mind-Body Chakra Therapy
Creation is Ecstasy: Manifestation workshop
Techniques of Mind-Body Integration - required for Mind-Body Chakra Therapy
6.

Lodging at EarthRise at IONS begins May 6. If you take the Pre-Immersion Workshops you will need to find a nearby hotel. We wil send you recommendations in your orientation letter.

At IONS: Bedrooms are set up as either single occupancy or double occupancy with twin beds, and specified rooms accommodate couples with full-size beds. All bedrooms are carpeted, and feature a desk and clothing bureau. Linens, blankets and towels are provided for our guests.

In front of the two chalets is a common outdoor deck area with tables and chairs. Both chalets have private back decks. An equipped kitchen in chalet #2 is accessible to all guests for tea and coffee.

 

 

Single: $99/day
Double: $75/day
Resident Commuter fee: $15/day
7.

When do you expect to arrive at IONS (day and time)?

 

 

 

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8.

When do you expect to depart from IONS (day and time)?

 

 

 

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9.

The meals at EarthRise at IONS is a varied buffet and menus are created so that all dishes on the buffet are dairy-free, with cheese on the side, and wheat-free except for some baked goods.  Gluten-free bread and gluten-free dessert choices are always offered.

 

Lunches are protein-rich vegetarian.  Fish or cage-free poultry are offered at dinner along with a vegetarian option unless a group requests meals to be completely vegetarian, or requests a meat protein at lunch.

 

Please indicate if you have any of the following dietary restrictions:

 

I do not eat fowl
I do not eat fish
I am vegetarian and do not eat either fish or fowl
I do not eat dairy
I cannot have sugar
I am gluten intolerant
No preference
Other  
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10.

Thank you so much and we look forward to seeing you soon! An orientation letter will be sent along with an invoice after we have reviewed your application. If you have any questions, please contact Shanon, our Office Manager at Office@SacredCenters.com.

 

 

 

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