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 12-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

Are you currently in crisis or living in “survival mode?” 

*

Do you have resources, skills, support, and training that you utilize to regulate your body & nervous system?

*

Do you have access to therapy/counseling should the need arise? (This isn’t a therapeutic offering and does not replace therapy; nor is this course appropriate when currently working through trauma)

*

Do you commit to creating the time & space to attend as many live Snake Temples & Snake Pit calls as possible & participate in the WhatsApp/Marco Polo communities? (This includes sharing about yourself & responding to others equally.)

*

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.

*

Please select the payment method you prefer

*

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)

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

Does this form look suspicious? Report