Inner radiance form

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Registration

Thank you for your interest in Inner Radiance.

Before confirming your place, please take a few quiet moments to complete this short form.

Your responses help ensure the container remains supportive, safe, and aligned.

This work is gentle, yet profound. Intention matters.

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Reserve your place

Date when you fill in the form*

Day

Month

Year

First name*

Last name*

Email*

What is calling you to join Inner Radiance at this time?*

How would you describe your current inner landscape?*

Have you previously experienced yoga nidra, sound meditation, or similar practices?

Y

N

Other

Are you able to attend the majority of live sessions?*

Yes

I may rely on replay for some sessions

Health & Safety Considerations: Please confirm that NONE of the following apply to you:*

First trimester of pregnancy

Schizophrenia or history of psychosis

Unmanaged bipolar disorder

Severe or unmanaged depression

Epilepsy or seizure disorders

Serious heart conditions or implanted medical devices

I confirm that none of the above applies to me, or I have consulted a healthcare professional.

Would you like to receive occasional updates from Riverleaf, including upcoming practices and reflections?*

Yes, I would like to receive updates

No, thank you

I am already subscribed

Do you have any question?