Heal Your Life Workshop Leader & Coach Training Application

HYL San Diego 2025 Application

Logistics

Nombre

Apellido

Name for nametag during training

Formal Name for Certificate

Dirección

Address Line 1

Address Line 2

Ciudad

Estado

Zip Code

País

Cell Phone Number

Correo electrónico

Emergency Contact Name and Relationship

Emergency Contact Phone Number

Getting to Know You

1. Briefly describe your experience with the work of Louise Hay. How has it helped you personally?

2. What types of healing work have you done previously (e.g., inner child work)?

3. Are you certified or licensed in any modalities (e.g., Reiki, hypnotherapy, aromatherapy)? (Not required, but may help with marketing your workshops)

4. What are your strengths( .e.g intuitive, compassionate, creative, experience leading groups, etc)?

6. Briefly describe a current challenge in your life(e.g. health, career, relationship,). Please let us know how you are working with it?

7. List eight adjectives that describe your childhood.

8. What are you most hoping to gain from this training?

9. Are you currently in therapy or have you been in therapy within the last 5 years? If yes, please explain.

10. Have you had experience leading groups? If, yes, please describe. (not a pre-requisite for the training)

11. Please tell us a little bit about your living situation. Roomates, Married, Divorced? Do you live alone or with others? Do you have children- grown or in the house? How would you describe your home life?

Hotel and Miscellanious

Course fee includes shared room (double occupancy If you register late and we have an odd number of participants, we cannot guarantee a roommate. A single room is available for an additional $1000.00. If you snore or prefer privacy, we recommend reserving a single.Room preference:

If you are NOT getting a single room, please tell us you preferences for Sleep:(e.g. cold/warm room, white noise, silence, etc). We want to make sure you sleep well at the training!

Do you have any special dietary needs? (Please note, we do our best to accommodate dietary needs, but don't guarantee we will always be able to.) If yes please explain

Do you smoke? Note: Hotel is nonsmoking indoors.

Do you have any physical challenges or accessibility needs?

How did you find us? (i.e., web search for Louise Hay, Hay House, online ad, workshop leader/coach, etc.

Please include a recent image of yourself.

Choose File

Communication and Social Media

We use various platforms to stay connected with participants before, during, and after the training. We use WhatsApp for communication and important updates. You must have WhatsApp installed on your phone before the training starts. If this isn't possible for you, please email us at healyourlifetrainings@gmail.com to explain why to us.

WhatsApp Number (include country code)

Facebook Link- we have a private Facebook page for Licensed Teachers

Instagram Handle

Cancellation Policy

All cancellation requests must be submitted in writing by email to info.healyourlife@gmail.com.

You may cancel your registration within seven (7) days of making your deposit and receive a refund of your deposit, minus a $150 administrative fee.
Cancellations received more than three (3) months prior to the training will receive a full refund of all payments made (less the non-refundable deposit or admin fee, depending on timing).
For cancellations received between three (3) months and one (1) month before the training, refunds will be provided after deducting any hotel or venue costs already incurred on your behalf.
No refunds will be issued for cancellations received within one (1) month of the training start date.

I understand the Cancellation Policy.

Yes

Date / Time

Heal Your Life Workshop Leader & Coach Training Application

Logistics

Getting to Know You

Hotel and Miscellanious

Communication and Social Media

Cancellation Policy

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