READY TO ACCESS YOUR NEXT LEVEL?

Flexible 1-on-1 Session Package

Enter your details below, and Ian will personally review your application.

If it’s a good fit, Ian will be in touch to explore this journey together.

Name

First Name

Last Name

Location & Timezone

Getting to know you

What are the biggest challenges you’re currently facing in your personal development or healing journey?

What specific goals, breakthroughs, or healing do you want to achieve through this work?

Have you done any personal development, coaching, therapy, or somatic healing work before? If so, what has worked (or not worked) for you?

Commitment & Investment

This package is a $500 USD investment for four 1:1 sessions to be used over 6 months. Are you currently in a financial position to invest in this package?

Yes

Which payment option can you commit to?

Pay in full: $500 USD

Payment plan: $85/month

This journey requires full presence, commitment, and a willingness to do the inner work. Are you 100% ready to show up for yourself in this process?

Yes

Medical

Note: this entire form is confidential. Safety notice: The Breathivate experience is not suitable for people who are currently pregnant or those who have a personal history of epilepsy, seizures, cardiovascular problems including angina or heart attacks, high blood pressure, aneurysms, glaucoma, retinal detachment, osteoporosis, or recent physical injuries, surgery or illness - particularly involving the brain, mouth, teeth, nose, throat, thyroid, immune system, lymphatic system, lungs, chest, ribs, spine, neck and/or reproductive organs. Breathwork in general is not recommended for people with a personal history of severe mental illness, personality disorders, hospitalization for any psychiatric condition or emotional crisis, suicidality, psychosis, drug or alcohol addiction. Possible side effects of the Breathivate experience may include dizziness, fainting, changes in body temperature, disorientation, tingling, carpopedal spasms, cramping, emotional processing, and feeling physical, mental, energetic and/or emotional triggering and/or vulnerability.

Acknowledgement:

I understand and agree to move forward

Are you currently navigating any personal challenges - mental or physical health concerns, addictions, significant life obstacles? Please keep it real, the better we understand you, the better we can support you.

Please list any medications you are currently taking.

Do you currently have any diagnosed conditions, illnesses or addictions?

I acknowledge and confirm that I am over the age of 18 at the time of completing this application.

Yes, I acknowledge and confirm

I acknowledge and agree that the information I’ve provided in this application is current and correct.

Yes, I acknowledge and confirm

Before we wrap this up.... Is there anything else you'd like me to know?

Thank you for taking the time to apply! Here are a few things to keep in mind: ✔ Give it a little time – Applications take up to 7 days to process. Ian will personally review each one to make sure it’s the right fit. ✔ Applying doesn’t guarantee placement, but if it feels aligned, Ian will be in touch with the next steps. ✔ Check your inbox (and spam folder!) – All updates will be sent via email, so keep an eye out. If you hear from Ian, be sure to reply quickly to lock in your spot. Looking forward to connecting soon! Stay tuned.