DR L1 Student Information Form
International School of Temple Arts (ISTA) - Level 1 the Experience

The transformational value of this course starts here and we invite you to take your time filling in this form.
The information submitted is for the eyes of the ISTA faculty on this course to support your process, and help provide a safe container for all participants.
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Email *
First Name *
Last Name
Is this your first time taking this training or are you a repeater.  If repeater please list L1s and Lead Faculty in questions 2 below *
How did you hear about this training (Referral Code)
Age at start of training
Gender *
Preferred First Name
Place of Birth (City/Country) *
Current Address (City/Country) *
Facebook Profile Full URL *
Phone Number *
Emergency Contact *
Dietary Needs/Restrictions *
1) What do you want to gain from participating in the Spiritual Sexual Shamanic Experience (SSSEX)? * *
2) What previous events, if any, have you attended that explored the topics of healing, Tantra,sexuality, breath-work, spirituality, and/or meditation? *
3) What forms of personal growth work have you undertaken in your life?(therapy, seminars, yogic training, etc.) *
4) What experience do you have (if any) receiving your own sexual healing work? *
5) How do you intend to apply the understanding you gain from attending this training? *
6) Please share any recent major life events--deaths, break ups, trauma, business/career changes or other emotional transitions. If you are not sure whether or not to include something, we ask that you share it here as this type of information helps us to hold a better container for our students as they move through this work. *
7) Do you currently work in the field of sexual healing or sex education? If not is it something you may want to do in the future? If you are interested working in this field, what experience do you have (if any) as a practitioner of other modalities of healing work? *
CANCELATION POLICY: A commitment to the Spiritual Sexual Shamanic Experience is a deep commitment to yourself. It is assumed that, if you feel drawn to this training, it is no accident.  If for any reason you become unable to attend, a non-refundable $150 US administrative fee will be withheld from your deposit. If you cancel less than 30 days of the training, your full deposit will be withheld. If you cancel within 7 days of the training, 50-100% of your payments to date will be withheld, depending on costs incurred due to late cancellation. All remaining funds will be refunded. *
Please confirm you made the $500 deposit *
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