Miramorphosis

Miramorphosis Application Form

First Name *

Last Name *

Email *

Phone *

City *

Country *

Which stage best describes you? *

Preparing for parenthood

Currently parenting

Reparenting yourself / breaking ancestral cycles

What called you to Miramorphosis at this time? *

What are the top three challenges or patterns you feel ready to heal or transform?

Have you participated in any body- or energy-based healing before? *

Yes (please specify)

No

Specify your participation in any body- or energy-based healing. *

Is there anything else from your healing journey you feel we should know? *

Please describe your vision of the legacy you wish to create. *

How do you embody presence and emotional maturity in your daily life today? *

Is there anything else you’d like us to consider in your application?

Can you commit to 2-3 hours per week for live sessions, integration work, and journaling? *

Yes

No

Do you have reliable internet & a private space for Zoom calls? *

Yes

No

Are you able to attend the 3-day immersion in Ibiza (7–9 Nov 2025)? *

Yes

No

Which payment option(s) are you considering ? (multiple choice) *

Full Price (€5,555)

Early-Bird (€4,555, now extended to August 30th 2025)

Online Only (€3,300 till August 30th 2025, €3,600 after)

Payment plan option

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others.

Please fill in your details and we will be in touch.