Application Form

The Confluence

Thank you for your interest in The Confluence.

To receive the full programme details and as the next step to your application, please fill in the short application form below. This information will be kept confidential and not shared with anyone else.

Once we’ve received your application, we will be in touch shortly with further details about the programme and to confirm next steps.

If you have any questions, please do email us at info@clairemissingham.com.

Ram Ram,

Claire x

Your Details

First Name

Last Name

Phone / WhatsApp Number:

Email

Instagram Handle

Location and Timezone

The Confluence is a course committed to your development and curiosity: what makes you curious? What ideas have been brewing within you in the past 2 years?

What is your main practice or modality? How often and who with:

Have we met and worked together previously? If so, where and when. If not, who brought you here?

Please write about your 3 main hobbies and inspirations in your life: people, places, ideas:

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