*First & Last Name *Phone Number *Email Address *What is the primary city & state you reside in? *Which category below reflects your age? 18-2930-3940-4950-5960-6970 or older *What is your primary occupation? Have you worked with Michael Brian Baker or The Breath Center before? Yes No Not sure *Which training(s) are you interested in attending? Group Live Stream March 2021 1 on 1 Virtual Training *What areas of training are you most looking forward to learning about? Breathwork Traditional Pranayama practices Western therapeutic breath practices Yogic Philosophy Anatomy & Physiology of Breathing Spiritual Awakening The Nature of Consciousness Personal Discovery/Healing Safe Guidelines for Practicing Breathwork Shamanism Esoteric teachings from ancient cultures Mysticism Facilitation of Breathwork Intuitive Practices Scientific Research on Awakening Developing a personal home practice How to develop a successful and responsible healing arts practice Please tell us in a few short sentences your experience or background in the below areas: Breathwork Yoga/Yogic Philosophy Meditation *What are your goals for attending training? (Please choose all that apply) Personal Discovery/Healing To possibly facilitate these practices for others one day For certification Are you interested in payment plan options for your tuition? Yes No Please add anything else you would like us to know about you: Fields with (*) are required.