Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Country

(###)

###

####

Have you attended a workshop or event with us before? *

Check all that apply.

Yes — with Avi

Yes — with Ice Cold Club

Yes — with both Avi + ICC

No, not yet

Yes — just not with Avi or ICC

How have you chilled before? *

Check all that apply.

Cold shower

Ice bath

Open water exposure

Contrast therapy

What aspects of the Level 1 Certification are you most interested in? *

Check all that apply.

Breath work

Cold Exposure

The protocols + science

Coaching + facilitiating

Which levels are you interested in completing? *

Check all that apply.

Level 1 — Basics of Breath, Developing a Personal Practice + Guiding Small Groups

Level 2 — Science of Breath, Integrating Sound + Guiding Medium Groups

Level 3 — Contrast Therapy, Plunging in Nature + Coordinating Large Groups + Events

Level 4 — The Business: Retreats, Marketing + Corporate Partnerships

Which Level 1 Cohort works best for your schedule? *

Check all that apply.

March 28th - 30th in NYC

April 25th - 27th in NYC

Future Date TBD in Miami

Future Date TBD in LA

Are you interested in booking a call with Avi or Lauren to discuss your application? *

Yes

No