Welcome!
Thank you for your interest in joining the POWER & Presence mentorship programme which will begin on Monday 14th November. Please provide your details in the form below to register.


Sign in to Google to save your progress. Learn more
Email *
What is your full name? *
What pronouns do you use? *
In two sentences or less, what is motivating you to join this programme? *
What is your biggest concern about joining this programme? *
How would you describe your current level of experience and knowledge around kink?  *
Please rate the following statements in terms of how you feel at present  *
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
I feel very in tune with my desires
I am able to express my desires clearly
I am able to express my boundaries clearly
I have agency over what happens to me
I have the ability to impact others or influence change in my life
I am satisfied with the amount and quality of physical intimacy in my life
I feel that people around me show me respect
I feel/would feel confident being in the Dominant role with a play partner
Is there anything else you'd like me to know about you in advance? For example, do you have any health conditions, accessibility needs, or trauma that you feel might affect our work together? If you would prefer to have that conversation over the phone, please make a note of that here. *
How did you hear about this programme?  *
Please provide your full name and postal address as you would like them to appear on your invoice. Invoices will be sent by email only from my company, Dare to Thrive Ltd.  *
How would you like to pay for the programme? 

The cost for the 3-month programme is £897 or £299/month. 

(The total amount is the same and both options are treated equally in terms of being accepted on the programme) 

**If you have been offered a subsidised place, this will be reflected in your invoice/s**
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Dare to Thrive Ltd. Report Abuse