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TPJ Registration - Pay in Full, Save $300

Complete this registration to enroll in The Personal Journey with One Breath Institute.

Have a photo of yourself ready to upload, and a credit card to make your payment.

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Question 1 of 16

First and Last Name:

Question 2 of 16

Best phone number to contact you (and alternate number if available):

Question 3 of 16

What city and country do you live in?

Question 4 of 16

Are you over 18 years of age?

A

Yes

B

Not Yet

Question 5 of 16

What is your birthday (month and day):

Question 6 of 16

What is your current occupation?

Question 7 of 16

List any/all of your previous trainings and certifications within the field of health and wellness:

Question 8 of 16

Do you have any chronic health conditions we should be aware of?

(Your information will remain confidential)

Question 9 of 16

Is there anything else you feel we should be aware of regarding your physical or mental health?

Agreements

The fine print.

Question 11 of 16

ONE BREATH INSTITUTE - A Private Membership Association

By joining One Breath Institute, a Private Membership Association and/or any website or Social Media Group started by, created by, maintained, or organized by the Association, I agree to the terms and conditions of One Breath Institute, a Private Membership Association, Agreement as follows.

1. This Association of members declares that our objective is to allow the Private Membership Association founders and all Private Membership Association members with a platform in which to

conduct all manner of private business with the Association and with other Associations and Association members, keeping all business in the private domain and utilizing the protections guaranteed by the Universal Declaration of Human Rights (UDHR), the Constitution to conduct business in private and to provide a platform for members to conduct business in the private domain under all protections acknowledged and guaranteed by the Constitution of the UNITED STATES, and any previous protections guaranteed.

2. We believe that the Holy Scriptures, the Universal Declaration of Human Rights (UDHR), the Constitution of the United States of America, the various constitutions of the several states of the union, and the Charter of Rights of Canada guarantees our members the rights of absolute freedom of religion, free speech, petition, assembly, and the right to gather together for the lawful purpose of helping one another in asserting our rights protected by those Constitutions, Charter and Statutes, in addition to the rights to be free from unreasonable search and seizure, the right to not incriminate ourselves, and the right to freely exercise all other unalienable rights as granted by our creator, our almighty God and guaranteed by those Constitutions, Charter, and Statutes.

3. WE HEREBY Declare that we are exercising our right of “freedom of association” as guaranteed by the Universal Declaration of Human Rights (UDHR), the U.S. Constitution and equivalent provisions of the various State Constitutions, as well as the Charter of Rights of Canada. This means that our Association activities are restricted to the private domain only and outside of the jurisdiction of government entities, agencies, officers, agents, contractors, and other representatives as provided by law.

4. We declare the basic right of all of our members to decide for themselves which Association members could be expected to give wise counsel and advice concerning all matters including, but not limited to physical, spiritual, and mental health care assistance, law, and any other matter and to accept from those members any and all counsel, advice, tips, whom we feel are able to properly advise and assist us.

5. We expect the freedom to choose and perform for ourselves the types of therapies and treatments that we think best for diagnosing, treating and preventing illness and disease and for achieving and maintaining optimum wellness, as well as the freedom to choose for ourselves any types of assistance which may be made regarding law and any other private business activity.

6. The mission of this Association is to provide members with a forum to conduct business between members in the private domain with the protections guaranteed within the aforesaid Constitution and Charter remaining fully intact.

7. The Association will recognize any person(s), natural or otherwise (irrespective of race, color, or religion) who have joined this Association or any social media group organized, created, or managed by this Association and is in agreement with these principles and policies as a member of this Association, providing said person has not been sanctioned, exercised, or otherwise banned by the association, and will provide a medium through which its individual members may associate for actuating and bringing to fruition the purposes heretofore declared.

8. Membership to this Association, "One Breath Institute", and any of its groups may be terminated by the association Trustees or their designee, at any time, should they conclude that a specific member is interacting with them or any other members in a way that is contrary or detrimental to the focus, principles, and betterment of this Association.

9. I understand that, since The Association is protected by the First and Fourteenth Amendments to the U.S. Constitution, it is outside the jurisdiction and authority of Federal and State Agencies and Authorities concerning any and all complaints or grievances against The Association members or other staff persons. All rights of complaints or grievances will be settled by an Association designee, committee, or tribunal and will be waived by the member for the benefit of The Association and its members. By agreeing to this membership form I agree that I have sought sufficient education to determine that this is the course of action I want to take for myself.

10. I agree to join One Breath Institute, a private membership association under common law, whose members seek to help each other achieve better health and good quality of life.

1. I am voluntarily changing my capacity from that of a public person to that of a private member.

11. My activities within The Association are a private contractual matter that I refuse to share with the Local, State, or Federal investigative or enforcement agencies. I fully agree not to pursue any course of legal action against a fellow member of The Association, unless that member has exposed me to a clear and present danger of substantive evil, and upon the recommendation and approval of the Association.

12. I enter into this agreement of my own free will without any pressure or coercion. I affirm that I do not represent any Local, State or Federal agency whose purpose is to regulate and approve products or services, or to carry out any mission of enforcement, entrapment or investigation. I have read and understood this document, and my questions have been answered fully to my satisfaction. I understand that I can withdraw from this agreement and terminate my membership in this association at any time, and that my membership can and will be revoked if I engage in abusive, violent, menacing, destructive or harassing behavior towards any other member of The Association.

These pages consist of the entire agreement for my membership in The Association.

I agree this contract began on the date of my joining "One Breath Institute". I declare that by joining this Association and/or the Associations websites and/or social media group(s), I have carefully read the whole of this document and I understand and agree with it.

A

I agree to these terms and acknowledge myself as a member of One Breath Institute PMA

Question 12 of 16

I acknowledge that my initial payment for The Personal Journey is non-refundable, at any time.

A

Yes

Question 13 of 16

I acknowledge that once The Personal Journey begins, I am responsible for paying the full program cost. This means that if I am on a monthly payment plan, those monthly payments will continue until the program is paid in full.

A

I acknowledge and agree to these terms

Question 14 of 16

We like to welcome incoming students on our social media pages. If you'd like to be featured, please share 1-3 sentences about why you're choosing to train as a facilitator--this will be shown on our social media pages. If you prefer us to not publicly introduce you at this time, type 'opt out'.

Question 15 of 16

Please share a photo of yourself.

 

If you've opted-in to be featured on our social media, this photo will be displayed with the 1-3 sentences you shared above.

 

If you've opted-out, your photo will be used for internal/identification purposes only.

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Question 16 of 16

Are you comfortable connecting with us on social media?  If so, please share your handles for each platform so we may connect and engage with you.

Confirm and Submit