Jungle Physician--Trauma-informed integrative therapies, coaching & practices for Healing, Thriving & Self-Realization--Soulful Morning Sadhana Registration for January 2020

Thanks for your interest! We are excited to practice with you 🙂 I have had difficulty receiving this form from those sending from Safari on iPhone. Best to use another method. If you have not heard from me within 48 hours of submission, please email me to check at jen@junglephysician.com!

Name by which you like to be called(required)

Email Address(required)

Mobile Phone (in case I need to text you due to an emergency or cancellation…)(required)

Emergency Contact Name & Number(required)

Which packages are you signing up for?(required) 1-month Unlimited (expires end of the month) — $180

15-day Punch Card (expires end of the month) — $150

10-day Punch Card (expires end of the month) — $120

5-day Punch Card (expires end of the month) — $90

Non-Member Day Passes (inquire about dates & rates below)

5-pack IR sauna 45-min Session (expires end of the month) — $75

Single IR sauna 45-min Session — $20

If signing up for the Non-Member passes, please specify dates:

I have thoroughly read the Soulful Morning Sadhana description and understand that I am signing up for a SELF-PRACTICE format. I have an established yoga practice or will consult Jen in private sessions prior to joining the group. (Jen leads the daily meditation, chanting and ceremony, teaches TIAVY Self-Practice on Sundays 7:15-9:15am followed my meditation/pranayama or 2nd Sunday satsang/kirtan 9:30-10:30. She practices beside you on other days.)(required)

If I have not done SHAMANIC JOURNEYING with Jen before, I will sign up for a free 15-minute consultation prior to joining 6am ceremony in order to discuss the details and find a spirit guide. Participation assumes you are familiar with this process!(required)

I understand that there will be NO PRACTICE Thursday-Monday January 23-27, 2020 due to Jen’s PhD travels. PRACTICE WILL END EARLY (at 7:15am) on Wednesday January 22 and Thursdays January 2, 9, 16 and 30 due to Jen’s shamanic training. Otherwise, we hold practice on all holidays and moon days.(required)

I understand that in order not to disrupt the SILENT PERIODS, I will plan my entrance and exit to occur sometime other than 6:00-6:35am or 9:45-10:00am. (Doors open daily by 5:50am for Ceremony.)(required)

I understand that due to Jen's VERY SEVERE AND LONG-LASTING IMMUNE SYSTEM INFLAMMATORY REACTION TO MOLD and the fact that I will be practicing in very close quarters with others in her home, Jen needs me to take extra care to bring an impeccably clean self, mat and set of clothes. (Please shower thoroughly before coming and refrain from using carcinogenic fabric softeners or strongly scented products. Please add 3/4 Cup of Borax to your yoga laundry loads for its anti-fungal properties. If these conditions are not met, you will be given one warning and thereafter asked to leave for the rest of the month without a refund. Thanks for your understanding of this critical matter!)(required)

I understand that also due to Jen's severe mold allergy and need to keep things very dry, there will be NO ACCESS TO SHOWERS except for those opting for IR sauna sessions. The practice room will be comfortably warm, but not hot, and showering before often negates the need to shower after practice. In addition to the powder room, there is a changing room next to the cubbies downstairs in order to help you get ready for the day.(required)

I understand that due to Jen's IMMUNE CONDITION and the close practice conditions, I will refrain from attending sessions while contagiously ill. I will also avail myself of natural hand sanitizers provided to protect fellow practitioners.(required)

I understand that FULL PAYMENT IS REQUIRED to reserve my spot. Payments are non-refundable and can be made via Venmo: Jen-Mitsuke_Peters or cash in person with prior permission. (In the event that Jen has to cancel, you will be refunded or credited a pro-rated amount corresponding to her time missed.)(required)

I understand that there is unfortunately NO VISITOR PARKING allowed within the complex (towing is zealously reinforced), so I will need to park across 84th Ave. in the neighborhood or down below at the liquor store. (It is just a short walk. Please enter through the garage down on the street level and leave shoes and personal belongings in the mud room. A small fridge is also available there, as well as storage for clean, dry mats. Exact address very close to Water World will be sent upon confirmation.) (required)

I understand that Jiyu is a hypo-allergenic rather playful puppy, and that I might occasionally get a doggy kiss or need to move a bone or hairy creature from my mat.(required)

SADHANA CAN BE INTENSE on mental, physical and spiritual planes and may bring up difficulties or result in injury, complications or death. I will communicate clearly with Jen about any relevant existing conditions and consult outside health professionals as necessary. I assume full responsibility for my own practices and will not hold Jen or Jiyu liable for any injuries or loss, theft or damage to personal property of any kind that I may sustain during this program or while on their property. (required)

Is there anything you'd like Jen to know?

Full name as legally-binding electronic signature(required)

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