Registration Form


 

Family Name (required)
First Name (required)
Full Birth Name
Name you would like to be called
Gender Male   Female
Date Of Birth
Address
Post Code
Telephone (required)
Mobile
Email (required)
Profession
The information requested below is very important. It will help the Group Facilitator(s) or the session giver (s) to work with you more effectively. The information will only be seen by the Group Facilitator(s) or Session Giver (s) and the Group Organiser.
Please give a summary of your experience in meditation and/or self­development groups
Have you had any previous experience of Tantra? If the answer to this question is “Yes” please outline this experience briefly.
How did you find out about this group or us?
What are your reasons for coming to this session or workshop? What are you hoping to learn or discover?
The group or sessions includes some physically active structures (Some meditations and exercises and dancing). Please let us know if this will present any physical difficulties for you.
Please tell us about any health issues and/or infectious diseases you may have. Please also tell us if you are on medication of any kind (please specify)
Do you have or have had any addictions (Smoking, alcohol or recreational drugs) Please give details
Please indicate below if you have any history of psychiatric treatments or if you are currently taking any psychiatric medication.
Do you have any history of abuse or traumas? Please give details.
Are you in a relationship? For how long? Do you have any children?
FOR COUPLES ONLY
How do you feel in this relationship and are you aware of any problem areas?
Do you feel your sexuality is flowing or stagnant? Are you happy with it?
Have you already practiced some tantric meditations or affiliated practices as a couple?
Please read and agree to the following text:
I understand that the group, session, and training processes with PresenceTantra focus on development of consciousness and individual responsibility. Therefore, I understand that I am responsible and I am invited not to do anything contrary to my values and in opposition to my consciousness.

 

I understand and recognise that what happens to me during the group, training or session processes stays under my control and the Presence Tantra teachers, session givers and organisers are not in any way responsible in the case of eventual physical problems or mental prejudice on my part.

I understand that I am participating in the processes with Presence Tantra for my own personal evolution and I agree not to teach the methods developed by Presence Tantra and unless and until I am authorised to do so in writing and under contract by Presence Tantra. I understand that the permission to teach may be given only after I have completed the required amount of training and assisting, so that the principles and spirit of the methods are well represented.

I understand that none of the processes offered by Presence Tantra and its facilitators take the place of qualified medical advice and I realise that I am advised to seek such advice if I feel the need for it.
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