Ecstatic Awareness Institute
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STUDENT REGISTRATION & APPLICATION FORM
 

 Dakini Mentorship: Sacred Sexual Priestess Training

**Please copy and send this form to Dakini @ecstaticawareness.com

www.ecstaticawareness.com

510.205.5651 

 

Overview:

Welcome to The Ecstatic Awareness Institute and thank you very much for choosing to be part of the Dakini Mentorship: Sacred Sexual Priestess Training. We assure you it will be an experience that you will never forget.

This powerful experiential course is an exclusive opportunity for women to explore sacred living and sexual empowerment. The training focuses on healing our relationship with the masculine within and without in-order to fully activate and express the Divine Feminine. Furthermore we learn to better understand our relationships with men allowing us to offer our awakened feminine gifts to the brothers, lovers and seekers in our life.

 

 Please answer a few questions to help us get to know you better and the path that has lead you here:

Full Name:

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Confidential Self-Inquiry for the Dakini Mentorship: Sacred Sexual Priestess Training

 

1) What are your motivations for enrolling in this course? Please list three or more.
 
 
2.) Some people take this training for their own personal enrichment while others are interested in developing a profession as a Sacred Sexual Practitioner.  How do you intend to apply the understanding you gain from attending this training?  
 
 
3.) What experience do you have (if any) as a practitioner of sexual healing work?  
 
 
4.) What experience do you have (if any) as a practitioner of other modalities of healing work? 

5.) What experience do you have (if any) receiving your own sexual healing work? 
 

6.) What forms of personal growth work have you undertaken in your life? (therapy, seminars, yogic training, etc.)  
 
 

7.) Are you currently taking any anti-depressant, anti-anxiety, blood pressure, diabetic or any other medications your trainers should be aware of?

 

8.) The course may potentially elicit powerful emotion. Are you willing and able to work with and move through your personal emotional material throughout our time together?

 

 9.) Do you have any history of sexual, verbal or physical abuse that you are aware of? If so, please share the impact that these actions may have had on your life. Be sure to include any healing modalities that assisted in your process.

 

10.) What do you believe are the necessary values that are essential in order to be a powerful sexual healer?

 

11.)What do you think may be limiting you from this if anything?

 

12.) Reaching for the stars, what would you hope to walk away with after attending the Erotic Spirituality Training?

 

 

_______ I have read and accept the Cancellation & Refund Policy.

_______ I agree to pay the balance/payments charged to my credit/debit card when due.

To pay for the course send this form to [email protected]

In addition to set up a payment plan please contact Niki at the School of Temple Arts 928-282-8511