July 2023 (BALI) - WOMENS Application Form

5 DAY WOMEN’S IMMERSION APPLICATION FORM

Name

First Name

Last Name

Email

Accomodation type?

Name of friend you would like to share a bungalow with? (If applicable)

How would you describe your current relationship with your body?

How would you describe your current relationship with sex?

Where do you feel limited or held back in your self expression? And, what would it mean to you to be fully self expressed?

What is your deepest desire for yourself in being part of this 5-Day Women's Immersion?

What is your previous experience in workshops and courses in Self Development, Tantra, Yoga etc....? (Don't worry, no experience is necessary!)

Is there anything else you would like me to know about you and your application?