Student Information Form
Please note that we are currently sold out! 
We are still accepting registration forms to be placed on waiting list. Once you complete the registration form the organizer will contact you and inform you of your place on the waiting list.
Thank you for your interest and patience. 

International School of Temple Arts (ISTA) - Spiritual Sexual Shamanic Experience (SSSEX) - Level 1

The transformational value of this course starts here and we invite you to take your time filling in this form.
The information submitted is for the eyes of the ISTA faculty on this course to support your process, and help provide a safe container for all participants.
Sign in to Google to save your progress. Learn more
Email *
Legal Name *
Date of Birth/Age *
Gender *
Preferred Name and Pronouns *
Nationality/Place of Birth *
Address *
Phone Number *
Facebook Profile Link *
Emergency Contact name, number and email *
Food Allergies or Dietary Restrictions *
Required
Have you completed this training previously and applying as a repeater? If yes please list in Question 2. *
Required
1) What do you want to gain from participating in the Spiritual Sexual Shamanic Experience (SSSEX)? * *
2) What previous events, if any, have you attended that explored the topics of healing, Tantra,sexuality, breath-work, spirituality, and/or meditation? *
3) What forms of personal growth work have you undertaken in your life?(therapy, seminars, yogic training, etc.) *
4) What experience do you have (if any) receiving your own sexual healing work? *
5) How do you intend to apply the understanding you gain from attending this training? *
6) Please share any recent major life events--deaths, break ups, trauma, business/career changes or other emotional transitions. If you are not sure whether or not to include something, we ask that you share it here as this type of information helps us to hold a better container for our students as they move through this work. *
7) Do you currently work in the field of sexual healing or sex education? If not is it something you may want to do in the future? If you are interested working in this field, what experience do you have (if any) as a practitioner of other modalities of healing work? *
I have read and agree with NE ISTA Trainings Term and Conditions found at https://neistatrainings.com/terms-and-conditions *
Required
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy