Conscious Connecting Evenings: Registration Form (one per person)
Welcome! Thank you for your interest to participate.
Please fill in one registration form per person. The information is confidential and helps us create a safe space, adapted to your needs.
We limit numbers in each gathering, and try to find a rough balance between men and women where possible. We will confirm your registration within a few days. Please do honour your commitment to attend once confirmed.
Thank you!

Questions: / 079 219 4407
Email address *
First Name *
Last Name *
Gender *
Phone number *
Dates you will attend *
What is your deep inner motivation to attend? Please reflect honestly on this question to help you prepare. *
Have you any previous experience of personal development around your inner masculine & feminine, conscious relating, intimacy or sacred sexuality? Describe briefly *
Do you have any unprocessed emotional, mental, physical or sexual traumas that may require particular support ? (e.g. difficulty to know your boundaries, receive touch, express needs, acknowledge projections, or stay present with certain emotions)
Preferred language *
Any questions or themes you'd like answered? Or further information to share with us?
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