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Radical Intimacy Herzershof October '24 - Participant Registration Form 
Welcome to our workshop "Radical Intimacy". Please take the time to fill in this form and return it to us before the workshop begins. It will support your experience within this workshop, and it gives clarity about your motivation.
Please complete all of the details in the form below. 
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Email *
Full Legal Name *
Date of your birth *
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YYYY
Preferred gender identification (male/female/ diverse) Please add pronoun as well *
Your current address (Street, suburb, postal code & city, country) *
Phone/whatsapp - please include the county code *
Would you like to be added to event's private Signal groups? *
Required
Are you coming to the workshop with an intimate partner? *
Required
Have you taken any other workshops/trainings related to the field of conscious sexuality or including mind, body and spirit? (e.g. ISTA) *
Are you on some medication? *
If you have any information about your trauma responses or experiences, I would appreciate a note from you about this. 
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What do you want to accomplish in our workshop?
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Relationship Boundaries Agreements - if you are currently in a relationship/partnership we strongly recommend that you agree upon your relationship boundaries before arriving to the workshop, regardless of wether your partner is attending the workshop with you or not. These would include boundaries around intimacy, intimate touch, sexual engagement, moving in a sex positive field. We encourage honest communication and honest expression of desires with integrity.  *
For your information: Stephan and I (Stefanie) are apprentices of the Sex & Happiness apprenticeship program by Laurie Handlers. We will be reviewed and reflected by our mentors. 
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