Intensive Intake Form Name* First Last Email* Phone*What has drawn you to participate in this program?*Are you taking this program as a prerequisite for the Starseed Year-Long Intensive?* Yes No What do you expect to get out of this program?*Do you have a current practice? What is it?*What practices have you tried and discontinued. Why did you discontinue these practices?*What is your current mental state?*What is your current emotional state?*What is your current physical state?*Which days of the week are best for you to attend class?* Monday Tuesday Wednesday Thursday Friday Saturday Sunday PhoneThis field is for validation purposes and should be left unchanged.