VOLUPTUOUS ECSTASY: AWAKEN THE SNAKE PRIESTESS Application
Sign in to Google to save your progress. Learn more
PLEASE WATCH THIS VIDEO BEFORE ANSWERING THE QUESTIONS 
First Name:
*
Last Name:
*
Pronouns:
*
Did anyone refer you to this work? (please share their name below)
Best Email:     
*
Telephone #:
*
City/State/Country:
*
Emergency Contact:
*
IF YOU PREFER TO MAKE A VIDEO WHERE YOU ANSWER THE APPLICATION QUESTIONS, PUT YOUR VIDEO LINK HERE:

How did you hear about this 6-month course? 

What draws you to Voluptuous Ecstasy: Awaken the Snake Priestess?  

What arises for you when you hear Voluptuous Ecstasy and the lineage of the Golden Snake?

Share your experience with snake medicine:

List any spiritual training that you’ve experienced:

How do you ground? 

Have you experienced any sacred sexuality, tantra, kundalini work? If so, please share. 

If not, explain your comfort level with exploring this. 

Share any ancestral work you’ve done:
I understand & agree:
*
Required

I’m not currently in crisis or living in “survival mode.” 

*

I have resources, skills, support, and training that I utilize to regulate my body & nervous system.

*

I have access to therapy/counseling should the need arise, as I understand this isn’t a therapeutic offering and does not replace therapy.

*

I commit to creating the time & space to attend as many live Snake Temples as possible & participate in the WhatsApp/Marco Polo "snake pit."

*

I’ve checked in with my cunt, with my body, and my ancestors. I trust it’s in wisdom to step into this initiation, now and feel a full-on YES.

*

Desire more? I’d like to add 1:1 snake medicine mentorship sessions with Rebecca: Bespoke & attuned to your personalized needs $180 per session (60 mins)

*

Desire more? I’m interested in attending the in-person Snake Medicine retreat with Rebecca October 3-6, 2024 (Hood River, Oregon: 1hr from Portland). 

Stay at the gorgeous AirBnB with Rebecca for $1,200 or stay elsewhere for $900. Only 8 spots available for the house. 

If yes, tick the box and learn more here. (There's a separate application for that.) 

*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of rebecca cavender. Report Abuse