Application form - Ascension Program - JZ Bown

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The Ascension Program

Application
(you may check more than one box in each category)

* Indicates required field

Name *

First

Last

Email *

Age *

under 20 20 - 40 over 40

My Time Zone is *

I am interested in *

Distance Sessions In-Person sessions in Vancouver In-Person sessions on Salt Spring Island A combination of Distance and In-Person

Previous Spiritual Development practices / experience *

None Limited meditation Regular and experienced meditator Yoga / Tai Qi / Qi Gong Plant spirit medicine Energy healing modalities Intuitive Event/s (ie a NDE) Other

If Other please specify *

I dedicate ____ % of my time to my ascension *

100% 75% or more 50% or more 25% or more less than 25%

When did you start to wake up? *

I dont understand the question This year 2 - 3 years Under 5 years 5 - 10 years ago Over 10 years ago

I want to ascend because: *

My biggest fear is: *

What I want most in this lifetime is: *

I am willing to *

Change Face my fears Take responsibility for the outcome of my life Create my life Let go of my identity None of the above

I prefer to complete this programme within: *

3 months 6 months 12 months

I will require a payment plan: *

No Yes

What I want to get or expect to get out of this programme is: *

Lets do this!

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Home
About JZ
Sessions
Classes
- Intuitive Acupuncture Class
- ThetaHealing Classes
Testimonials
Events
Radio
Contact

The Ascension Program

Application(you may check more than one box in each category)

Application
(you may check more than one box in each category)