Name
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First Name
Last Name
Email
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Briefly describe your work and who you serve.
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Be as specific as you can.
What draws you to shadow work? Have you explored this type of work before? If so, how?
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What is your biggest goal for this workshop? What would make the experience feel like a success to you?
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What challenges do you currently face in your personal or professional life that you feel body-based shadow work could help address?
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Have you worked with a shadow work coach or practitioner before? If so, what was that experience like?
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What emotional patterns or 'blocks' have been coming up for you recently in your work or relationships that feel significant?
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Dynamics may include personal relationships as well as professional.
What is one repressed or shadowy aspect of yourself that you’d like to better understand or integrate?
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How do you envision applying what you learn in this workshop to your personal or professional life?
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How experienced would you consider yourself to be with Somatic (body-based) tools and practices?
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Very experienced - this is part of my practice!
Somewhat experienced - I've done a good amount of work but wouldn't feel comfortable teaching these skills yet
Slightly experienced - I've explored this work a bit but don't know that much yet
Minimally experienced - I've either never done it before or only had a few experienced with Somatic practices
How experienced would you consider yourself to be with thought deconstruction tools and practices (for example, CBT-based tools)?
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Very experienced - this is part of my practice!
Somewhat experienced - I've done a good amount of work myself but wouldn't feel comfortable teaching these tools or skills yet
Slightly experienced - I've explored this work a bit but still don't know or understand much about it yet
Minimally experienced - I've either never done it before or only had a few experienced that were not hugely impactful
Is there anything else you’d like me to know about your background, goals, or expectations for the workshop?
Do you have any relevant medical or psychological conditions you would like to disclose? (Optional)
Liability Disclaimer and Informed Consent
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By submitting this application, you acknowledge and agree to the following:
Nature of the Workshop:
This workshop is educational in nature and designed for personal and professional growth. It is not a substitute for medical, psychological, or psychiatric advice, diagnosis, or treatment.
Participation involves self-reflective and somatic practices, which may evoke emotional responses.
Responsibility for Emotional and Physical Wellbeing:
You are fully responsible for your own emotional and physical wellbeing during and after the workshop.
If you are currently experiencing acute emotional distress or have unresolved trauma, please consult with a licensed therapist or healthcare professional before participating.
Confidentiality:
While all participants are encouraged to respect confidentiality, the facilitator cannot guarantee that others in the group will maintain it.
Limitation of Liability:
The facilitator (and any affiliated persons or entities) is not liable for any physical, emotional, or psychological issues that may arise during or after the workshop.
By participating, you voluntarily assume all risks associated with the workshop.
Cancellation and Refund Policy:
Please note that all payments are final. Refunds or credits will not be issued unless the facilitator cancels the workshop.
Consent and Agreement:
By checking the box below, you acknowledge that you have read, understood, and agree to the terms outlined above. You confirm that you are participating voluntarily and that you release the facilitator from any liability related to your participation.
Thank you for applying to the Shadow Work for Practitioners Intensive! Your application has been received, and I deeply appreciate your interest in this transformative experience. I’ll review your submission carefully to ensure the workshop is a great fit for you and the group.
You can expect to hear back from me within 3-5 business days. If your application is accepted, I’ll provide you with all the details you need to finalize your spot, including payment instructions and any relevant workshop preparation materials.
If you have any questions in the meantime, feel free to reach out to me directly at hello@rachaelbesser.com.
Thank you again for your time and openness—I look forward to the possibility of working with you!
Warmly,Body-Based Shadow Work Practitioner & Emotional Integration Coach
