Tantric bodywork form

Application for Tantric bodywork:

Tantric bodywork is a way to explore & expand your capacity to experience blissful energetic awareness in the body. This can have life changing effects on all aspects of you not limited to your body, relationships & spiritual growth. The intention of your therapist is to provide healing, conciousness expansion, education & experiential knowledge through Tantric practices. My safety is your safety. I work out of private live/work spaces (not storefronts). Therefore, just as you would not invite unknown strangers in to your private home who have not been vetted/screened or have an online presence, neither do I. Screening is done in order to provide a safe sanctuary for you to unwind & leave the cares of the world behind. I create an optimal & peaceful environment for true tantric transformation to occur. I do not accept all applicants. Just as one chooses their practitioners with discernment, I choose all of my clients with considerable discernment.

Please give reference to your LinkedIn, one personal social media account that you are active on AND/OR your professional website with your photo it it*

Rows	Link to social media, website and/or linked in acct.
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Full Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
What is your profession?*
HealingConsciousness expansionTo learn TantraTo try a new spiritual practiceTo let go and relaxOther
Please attach a clear, unobstructed picture of the front of your ID here. This is an important step and is a requirement to be seen. *

Photo ID
Cancelof
If your application is accepted, do you promise to be discreet, respectful and honoring of your therapists time, energy and boundaries?*
If I google your name and town, will anything show up to verify you are who you say you are and do what you say you do?*
The infomation shared in this form is for verification purposes only and all things shared during our session is kept 100% confidential. Your privacy and mine are very important to me!

By submitting below you agree to engage with mindfulness, care and respect. Once your form has been reviewed you will receive an email with further details to book your first appointment.
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Application for Tantric bodywork: