Are you new to the training or a repeating student?(Required) I'm new to the training I'm a repeating student Which training are you applying for?(Required) Western Hemisphere Asia Pacific A note regarding the Save and Continue Option.(Required)To give you plenty of time to fill in this form there is the option to 'Save and Continue'. You can find the link at the bottom of the form. However, please be aware that your place is NOT SECURE until you have completed the form AND made payment (deposit or in full). I am aware that my place is only confirmed when the completed form is submitted along with my payment (deposit or in full). Contact DetailsFor all non-english names (current and birth certificate) please send us a recording of your names pronounced as they would have been by parents at the time of naming (see below).First Name(Required)Middle Name (if none type n/a)(Required)Last Name(Required)Birth Certificate Name(Required)Please include all names Do You Have a Non-English Pronounced Name? Non-English Pronounced Name? For all non-english names (including your birth certificate name and currently used name) it is ESSENTIAL to send us a recording of your names pronounced as they would have been by parents at the time of naming. When recording, say the name at normal speed once, then three times more slowly at the same speed. If you don't speak the language then please ask someone that does to do the recording. Use the software Vocaroo (link below) or Speak Pipe to record the pronunciation of all non-english names. Then copy the link and add it below. Record Your Name Pronunciations Here using Vocaroo Record Your Name using Speak Pipe Share your Vocaroo/Speak Pipe link hereAlternatively upload your MP3 hereOccasionally Vocaroo/ Speak Pipe doesn't work for people. In this instance you can record your voice and save it as a MP3 and upload it below.Max. file size: 512 MB.Date of Birth(Required)Mobile/Cell Phone Number(Required)Please included the international dialling codeLandline Phone NumberPlease included the international dialling codeEmail(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Time Zone(Required)More About YouPlease provide an image of yourself for our records(Required)Accepted file types: jpeg, png, jpg, Max. file size: 512 MB.What brought you to this training and what are your objectives for using it in the future?(Required)Your background in terms of healing/facilitation/teaching/training/experience in delivering these services?(Required)Birth certificate names of 5-6 close family membersThese will be used as backup case studies during the training. Student's birth certificate training will be used as the primary basis for the training.Other Birth Certificate Names(Required)Click the + on the right hand side of the last field to add another name. We need a minimum of 5 names. Please note that we need audio recordings for ALL Non-English Pronounced Names.Birth Certificate name onlyLanguage(s) of words in nameRelationship to you e.g. wife, son, friend etcBirthdate/Starsign Add RemoveShare your Vocaroo link(s) hereWe only need recordings for Non-English Pronounced Names. Here's the link to Vocaroo to record your name pronunciations Alternatively add your MP3 file here Drop files here or Select files Max. file size: 512 MB. Have you given us ALL the Non English Pronounced name recordings we need?(Required)This includes your own name as well as the 5/6 other names if they are Non-English Pronounced. Yes I have added Vocaroo links to all non-English pronounced names or uploaded a file with the audio of all names Payment and T&C'sI will pay the agreed upon (by myself and Nicolas David Ngan) concessionary price in full before the commencement of the course*(Required) I agree to the above statement I agree to attend all training sessions(Required) Yes I agree to the above I agree that all readings and processes, everything shared by teachers and students is strictly private and confidential, and not to be shared outside of the training, in order to create a safe space for all concerned(Required) Yes I agree to the above I agree that if I withdraw before the training commences and have not paid the balance of the course fees, only the deposit is non-refundable. If I withdraw after I have received access to the downloadable course manuals, the full course fees are non-refundable, but may be transferred to a future training within two years.(Required) Yes I agree to the above MarketingWhere did you hear about this training?(Required) I was referred by Someone Soul Contract Reader Software Center for Conscious Ascension Website Center for Conscious Ascension Newsletter Center for Conscious Ascension Social Media (facebook or twitter) What is the name of the FIRST person who referred you and the DATE they did so?(Required)Would you like to join the Mailing List of the Center for Conscious Ascension?(Required)By selecting Yes, you agree to receive informative and helpful emails about trainings, webinars, free resources, products and special offers that may support you. You will only receive emails once or twice a month. Yes please No thank you Δ