Sound Healing Facilitator Certification — Flowing Lotus Center, LLC

1

Applicant Information

Getting Started

Full Name *

Please enter your full name.

Email Address *

Please enter a valid email.

Phone Number *

Please enter your phone number.

City / State / Country *

Please enter your location.

Website / Instagram (optional)

Preferred Pronouns (optional)

How did you hear about this training? *

Please select an option.

Step 1 of 5

2

Professional Background

Your Experience

What best describes your professional role? *

Therapist / Social Worker

Counselor / Psychologist

Yoga / Meditation Teacher

Coach / Wellness Practitioner

Reiki / Energy Healer

Nurse / Healthcare Provider

Student / Intern

Other

Please select at least one role.

Licensure / Certifications (if applicable)

e.g. LCSW, LPC, RYT-200, Reiki Level II

Years in Practice / Your Field

What is your current experience with sound healing? *

None — completely new to it

Personal practice only

Some facilitation experience (informal)

Trained in sound healing — actively facilitating

Please select an option.

Do you have any training or experience with somatic or body-based approaches? *

Yes, trained

Some exposure

None, but interested

No

Please select an option.

What is your intention for attending this training? *

How do you plan to use sound healing in your work or practice?

Please share your intention.

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3

Training Details & CEU Information

June 26–28 · Las Vegas

June 26–28 Training Schedule

Please review the full schedule and confirm your availability below. Both Saturday and Sunday sessions must be attended in full to receive certification.

Friday, June 26 Evening Only Welcome Meet & Greet
Opening Sound Bowl Healing
Experiential — Non-Instructional
Does not count toward CEUs

Saturday, June 27 6 Instructional Hours Full-day training
CEU eligible
Full attendance required

Sunday, June 28 6 Instructional Hours Full-day training
CEU eligible
Full attendance required

Will you be attending the Friday evening experiential immersion? *

This is optional. It does not count toward CEUs or certification hours.

Yes, I plan to attend

No, I will not attend

Unsure at this time

Please select an option.

CEU Information — Nevada Social Workers

12 instructional hours (Saturday & Sunday) are approved for CEU credit through the Nevada Board of Examiners for Social Workers.
Friday evening is experiential only and does not count toward CEUs.
Nevada license renewal requires 30–36 biennial CEU hours: LCSW & LISW require 36 hours; LSW & LASW require 30 hours.
Participants are responsible for submitting their certificates to the Nevada Board upon license renewal.
Certificates will clearly indicate CEUs earned and any cultural competency hours included.

Are you seeking CEU credit for this training? *

Yes — I am a licensed social worker in Nevada

Yes — I am licensed in another state and will verify CEU applicability

No — I am not seeking CEU credit

Please select an option.

Nevada SW License Number (if applicable)

Required for CEU certificate issuance for Nevada-licensed social workers.

Attendance Confirmation *

I confirm I will attend the full Saturday, June 27 instructional session (6 hours).

I confirm I will attend the full Sunday, June 28 instructional session (6 hours).

I understand that partial attendance does not qualify for certification or CEU credit.

Please confirm all attendance requirements to continue.

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4

Financial Statement & Policies

Investment

Training Investment

The Sound Healing Facilitator Certification (June 26–28) is [INSERT INVESTMENT]. Limited payment plans may be available upon request. Please complete the financial statement below honestly to help us support your enrollment.

Refund & Transfer Policy

All sales are final once enrollment is confirmed and course materials, onboarding access, or CEU/certification resources are issued. Because materials are delivered upon registration, no refunds are provided for the Sound Healing Facilitator Certification. If you are unable to attend, you may request a one-time transfer to a future training date, subject to availability, provided the request is made in writing at least 7 days prior to the training start date (Friday, June 26). Transfers do not reset certification requirements. Missed sessions, partial attendance, or non-participation do not qualify for refunds. Flowing Lotus Center, LLC reserves the right to deny transfer requests in cases of repeated rescheduling, policy abuse, or if a future cohort is full.

Payment Plan Policy

Payment plans may be offered on a limited basis and must be approved prior to enrollment confirmation. By selecting a payment plan, you authorize Flowing Lotus Center, LLC to charge the payment method on file according to the agreed schedule. The full balance must be paid prior to the training start date to receive entry, certification documentation, and CEU certificates. If a payment fails, you will be given a short grace period to update payment details; continued non-payment may result in forfeiture of your enrollment. Payment obligations remain in effect regardless of attendance or completion. If you anticipate difficulty meeting a payment, you agree to contact us promptly prior to the due date. If a chargeback or payment dispute is initiated after enrollment is confirmed, certification eligibility and training access may be revoked pending resolution.

How do you plan to pay? *

Pay in full

Payment plan (if available)

Employer / organization reimbursement

Other

Please select a payment method.

Financial Statement *

I am financially able to enroll and understand the investment.

I can enroll only with a payment plan (if available).

I am seeking employer / organization reimbursement.

I am not financially ready at this time.

Please select an option.

If requesting a payment plan, monthly amount

If employer reimbursement, name of payer

Financial & Policy Acknowledgements *

I have read and understand the Refund & Transfer Policy. I acknowledge all sales are final once enrollment is confirmed and transfers are subject to written request deadlines and availability.

If selecting a payment plan, I authorize Flowing Lotus Center, LLC to charge my payment method on file per the agreed schedule, and understand my full balance must be paid before the training start date.

I understand that initiating a chargeback or payment dispute after enrollment is confirmed may result in revocation of training access and certification eligibility pending resolution.

I understand payments are my responsibility and must be made on time to maintain my enrollment.

I understand certification requires full attendance of both Saturday and Sunday instructional sessions (12 total hours).

Please acknowledge all statements to continue.

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5

Scope, Ethics & Final Questions

Almost Done

Important Scope & Ethics Statement

This training does not certify participants to diagnose, treat, or cure medical or mental health conditions.
No medical or mental health claims may be made as a result of this certification.
This program does not replace psychotherapy, medical care, or clinical treatment.
Completion of this training does not confer licensure as a therapist or healthcare provider.
Graduates are trained to work with individuals within a wellness and self-care capacity, with a focus on mindfulness and autonomic nervous system regulation.

Scope of Practice Agreement *

I understand this certification trains me to work within a wellness and self-care framework only, focused on mindfulness and nervous system regulation.

I agree not to diagnose, treat, or make medical or mental health claims as a result of this training.

I understand this training does not confer licensure as a therapist, healthcare provider, or clinical professional.

I agree to use consent-based, trauma-informed facilitation practices as taught in this program.

Please agree to all scope of practice statements.

Code of Conduct *

I agree to respectful, inclusive communication and facilitation practices.

I agree not to use discriminatory, harmful, or coercive facilitation practices.

I agree not to copy, resell, or distribute course materials or curriculum without written permission from Flowing Lotus Center, LLC.

Please agree to all code of conduct statements.

What support do you need to succeed in this training?

Any accessibility needs or accommodations?

Anything else you'd like us to know?

Step 5 of 5

Applicant Information

Professional Background

Training Details & CEU Information

Financial Statement & Policies

Scope, Ethics & Final Questions

Application Received