APPLICATION

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APPLICATION

Thank you for your interest in applying the Pleasure as Medicine & Sexual alchemy 11 - WEEK program

This is FOR YOU as an INTROSPECTION as well as FOR me to take into consideration

CREATING A SAFE SPACE FOR THIS TRAINING IS PRIORITY

➳THIS IS NOT A SPACE THAT PROMOTES THE’ IGNORANCE’ OF PLEASURE & THE ADDICTION TO THE ‘HIGH’ OF PLEASURE AS AN ESCAPE MECHANISM
➳THIS IS A SPACE WHERE THE POTENCY OF PLEASURE IS USED AS AN EMBODIMENT TOOL; TO HEAL, CONNECT & CREATE
➳THIS IS A SPACE WHERE THE WHOLE CONSTITUTION OF THE HUMAN-DIVINE-BEING IS TAKEN INTO ACCOUNT (TRAUMAS, WOUNDS, PROGRAMS, EMOTIONS, THOUGHTS, FLESH, ESSENCE)

****Stay ensured that all the information provided through this form is strictly confidential and only used as part of the application process

Once your application is reviewed you will be contacted with details on HOW TO COMPLETE YOUR BOOKING

Email *

Full Name *

Applying *

On my own

With a friend

Required

In your journey in a woman's body have you experienced any of the following ? *

Pregnancy

Birth

Unwanted sex

Sexual assault

Abortion

Other:

Required

What had made you say YES to apply for this program?

What are you looking to get out of this program? *

Do you have any fears rising up when you think of being part of this program? *

Check the boxes that YOU AGREE WITH *

I will keep the sharing of any of the participants of this program CONFIDENTIAL

Photos and videos for marketing purposes (including my face)

Photos and videos for marketing purposes (not including my face)

Required

Thank you for taking the time

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