Emancipation Retreat Intensive: History & Waiver
Michael and Freyja assure 100% professional confidentiality. Please take the time to fill out your history thoughtfully and completely in preparation for your Integrative Orgasmic Life Alchemy retreat experience. This form goes deep and includes a lot on sexual history and past trauma as most people have significant blocks created in these areas. This gives us an excellent starting point in exploring and releasing the scripts, blockages and triggers that are keeping you from realizing your deepest desires and living your dreams.
Email address *
Name: *
Phone number: *
Address: *
City: *
State/Province: *
Zip/Postal Code: *
Country: *
Age: *
Gender: *
Emergency Contact *
How did you hear about us? *
Never submit passwords through Google Forms.
This form was created inside of Inanna Sanctuary. Report Abuse