Tantra Somatics: Waitlist Application

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Stacy & Daniel are not able to take new clients at this time. To be placed on the WAITLIST please fill out the application below. You will be notified as soon as a spot becomes available. Thank you so much for your patients. We hope to be able to work with you soon!

Name

Phone

What do you hope tantra might do for you?

What are the blocks you are currently experiencing in your emotional and sexual intimacy?

Please briefly explain any traumas or addictions you are currently working with.

What would you love to leave this container with?

Are you applying as a couple or for 1:1 work?

Couple's Work ( If selecting Couple's Work please answer the questions on the next page)

1:1 Work ( If selecting 1:1 work you can skip to the end of the next page and click SUBMIT)

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