The Healing Place CE5 Event Application

CE5 Event Application

In order to help us get to know you, and better connect please answer these questions. As professional hypnotherapists and healers we need to know.

First Name

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Last Name

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Do you have any experiences with ET or other worldly beings? If so, please share.

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0/200

Have you seen Dr. Steven Greers documentary Close Encounters of The Fifth Kind? If so, what did you think of it?

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0/200

Do we have your permission to photograph or film during the event?
Jami often captures photos and video during CE5 gatherings to document the energetic phenomena that unfold. This may include group footage and images of participants.

Yes, I’m comfortable being photographed or filmed during the event

No, I prefer not to appear in any photos or video

This field is required.

Are you on any medication, whether it be prescribed or recreational? If yes, please share.

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0/200

Do you have any medical issues that may be difficult for you to maneuver in the dark, and rough terrain? We sometimes gather in our large meadow that takes a bit to get to, and has rougher terrain.

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0/200

Do you agree to be of sober mind and body during our event?

Yes

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Do you feel like you have a kind mind and heart?

Yes

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Do you agree not to bring pets and or others that have not filled out an application?

Yes

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Would you like to request a photography session with Jami?
Jami offers two optional photo-based sessions during CE5 events:
Aura Photography (scheduled earlier in the day using AuraCloud 3D technology)
Spirit Photography (captured intuitively outdoors during the CE5 event)

Please select any you're interested in. Spots are limited and filled in the order requests are received.

I would like to request an Aura Photography session

I would like to request a Spirit Photography session

I'm not interested in photography at this time

This field is required.

Thank you for taking the time to share with us.
Our CE5 gatherings are always free, intimate, and guided with love. This form helps us create a safe, high-frequency space for everyone who attends. Once we receive your application, we’ll review it and be in touch with next steps.

CE5 Event Application

Awaken the Divine Within Retreat