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FL L1 Student Information Form
International School of Temple Arts (ISTA) - Spiritual Sexual Shamanic Experience (SSSEX)
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.
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Email
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Your email
First Name
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Your answer
Last Name
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Your answer
How did you hear about this training (Referral Code)
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Year of Birth
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Gender
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Choose
Female
Male
Female-Nonbinary
Male-Nonbinary
Transgender Woman
Transgender Man
Preferred Name
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Country of Birth
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Current Address (City, State, Country)
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Your answer
Facebook Profile Full URL
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Your answer
Phone Number
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Emergency Contact
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Dietary Needs/Restrictions
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Vegetarian
Vegan
Gluten Free
Dairy Free
None
Allergies (Please list below in "Other")
Other:
Required
Is this your first time taking this training or are you a repeater. If repeater please list L1s and Lead Faculty in questions 2
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First Time
Repeater
Would you lodging or the camping option (You must have our own camping gear)
Lodging - Full Price
Camping - Discounted at $1995
Whatever is availible
Clear selection
1) What do you want to gain from participating in the Spiritual Sexual Shamanic Experience (SSSEX)? *
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Your answer
2) What previous events, if any, have you attended that explored the topics of healing, Tantra,sexuality, breath-work, spirituality, and/or meditation?
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Your answer
3) What forms of personal growth work have you undertaken in your life?(therapy, seminars, yogic training, etc.)
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Your answer
4) What experience do you have (if any) receiving your own sexual healing work?
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Your answer
5) How do you intend to apply the understanding you gain from attending this training?
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Your answer
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.
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Your answer
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?
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Your answer
CANCELATION POLICY: A commitment to the Spiritual Sexual Shamanic Experience is a deep commitment to yourself. It is assumed that, if you feel drawn to this training, it is no accident. If for any reason you become unable to attend, a non-refundable $150 US administrative fee will be withheld from your deposit. If you cancel less than 30 days of the training, your deposit of $500 US will be withheld. If you cancel within 7 days of the training, 50% of the cost will be withheld. All remaining funds will be refunded.
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I Agree
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Please confirm you made the $500 deposit
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Preferred Option: Paid via Zelle: 718-753-0985
Paid Via Venmo : @EastCoastIsta
Paid via PayPal: Scan QR Code
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