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Awakening Polarity & Depth Play: April 19, 2024 Una Vida
Please complete this form in full with as much detail as possible. Couples must each complete the application form separately.
Questions? Contact: Team@Sunyata.info
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Email
*
Your email
Name
*
Your answer
Mobile Phone
*
Your answer
Birthdate
*
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/
DD
/
YYYY
My gender is:
*
Male
Female
Other
Other:
Do you plan to attend with a partner? (please submit separate questionnaires)
*
Yes
No
How did you hear about this Intensive?
*
Christopher Sunyata
Ethan J Henson
Facebook, Instagram or other social media
Referral from a past attendee
Other:
Required
If attending with a partner, what is their name?
Your answer
What would need to happen for you to feel that this workshop was a success for you?
*
Your answer
The practices, training, and exercises in this workshop can be physically and emotionally demanding. Do you have any medical conditions that might restrict your full participation in this workshop? If yes, please explain.
*
Your answer
Is there anything else necessary for Christopher and the support staff to know about you?
*
Your answer
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