Application for Deepening Intimacy Workshop Feb 7 - 9, 2020
Event Timing: Friday 7-10pm, Saturday 11am-10pm, Sunday 11am-6pm
Contact: Karen Wolfe 415-420-9459
          or: Christopher Sunyata 808-989-0928         
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Email *
Name *
Mobile Phone *
Birthdate *
Occupation *
Person to contact in case of emergency *
Phone number of emergency contact *
Do you plan to attend with a partner? *
How did you hear about this workshop? *
If attending with a partner, what is their name?
List the events and trainings with Christopher Sunyata, Karen Wolfe, or related teachers, that you have attended, if any. (Include what, when, and where, if possible.) *
Have you participated in any other training programs for personal growth? If yes, which ones? *
What are the three things, relationships, or areas of life you’d most like to shift or bring change to as a result of taking this workshop? What are your intentions for yourself and your future? *
What would need to happen for you to feel that this workshop was a success for you? *
The practices, training, and exercises in this workshop can be physically and emotionally demanding. Do you have any medical conditions that might restrict your full participation in this workshop? If yes, please explain. *
Have you in the past two years been under the care of a therapist or mental health professional? Have you ever experienced any traumatic or emotional conditions that are relevant to this workshop, including childhood emotional or physical abuse? If yes, please share those circumstances in detail, when they began and their duration, including whether or not you received or are currently receiving treatment. *
Do you have a regular spiritual practice such as meditation, prayer, yoga, etc.? If yes, please describe. *
Is there anything else that may be important for Christopher, Karen, and the support staff to know about you? *
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