Workshop Registration Form

Workshop Registration Form

All information in this form is totally confidential

Please describe

The information requested below is very important. It will help the Group Facilitator(s) to work with you more effectively. The information will only be seen by the Group Facilitator(s) and the Group Organiser.

Please give a summary of your experience in meditation, counselling, self development or other workshops you have attended prior.
Have you had any previous experience of Tantra or relational workshops? If the answer to this question is “Yes” please outline this experience briefly.
What are your reasons for coming to this workshop? What are you hoping to discover, learn or achieve in this workshop? What would be your most wanted shift?
Please describe significant events from your family environment, your upbringing and other difficulties you have experienced in your childhood and adult life that you feel may be relevant for your process.
The group includes some physically active structures (some meditations and exercises and dancing). Please let us know if this will present any physical difficulties for you:
Please tell us about any health issues and/or infectious diseases you may have. Please also tell us if you are on medication of any kind (please specify).:
Please indicate below if you have any history of psychiatric treatments or if you are currently taking any psychiatric medication:

I understand that the group sessions and training processes within this workshop focuses on development of consciousness, embodiment, release of trauma, personal growth and requires individual responsibility. Therefore,
I understand that I am responsible and I am invited not to do anything contrary to my values and in opposition to my consciousness.

I understand and recognise that what happens to me during the workshop processes stays under my control and the teachers, session givers and organizers are not in any way responsible in the case of eventual physical problems or mental prejudice on my part. If i have pre existing mental or physical problems I take full responsibility of these and seek medical advice should any problems arise during my training.

I understand and recognize that some of the content in the may be of touch or sensual, sexual nature. I agree to act responsible in regards to my previously existing relationships or agreements and to seek advice from a facilitator during the training should I feel at any time uncomfortable with any of the exercises or interactions within the group.

Please describe your current relationship status and agreements:

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