The Regulated Self  – Application Form


This scholarship is intended for individuals who are ready to fully commit to the process and actively participate in the program.

Please fill our the application below, to be considered for this program!





The Healing Blueprint

1 hour 30 minutes
On Zoom
  • identify emotional/nervous system patterns
  • uncover blocks
  • understand behavioral cycles
  • determine what support path fits best
Price of Blue Print goes towards future sessions if applicable.

Select a Date and Time

Sun
Mon
Tue
Wed
Thu
Fri
Sat
Time Zone
UTC
Have you worked with us before?*
Why do you feel called to this program right now?*
What transformation are you hoping to experience?*
What would participating in this program make possible for you?*
Do you require a payment plan if not available?*
Is there anything you would like us to know?*
Are you committed to your journey?*