Registration Form ISTA Holland 2024

Registration Form
Thank you so much for your interest in the ISTA Level 1 training in The Netherlands, SSSEx from 22 - 29 April 2024.

The transformational value of this training starts here and we invite you to take your time filling out this form. These questions are an invitation for deeper self-inquiry as much for you as for us. You are invited to share as much as you are comfortable to. The last page is a list of the agreements we use to create a strong and safe container for our journey. It is important you read these carefully. If you wish to discuss any of the agreements or for some reason cannot agree to any of them please let us know so we can discuss further.

Only submit this form after you have paid the deposit of €500.
Once we received your payment and this registration form we will send you a confirmation of your registration. You will receive practical information closer to the start of the training.

Thank you for your time and we look forward to connecting with you soon.

Warm regards,

Danny & Joyce
Organisers ISTA Holland/Ibiza/Mallorca
Personal Information
Add a Personal Image*
Full Legal Name (as shown on your passport)*

First NameLast Name
Name you like to be known by
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Telephone / WhatsApp Number*
We will use your number to create a group for more efficient communication purpose
E-mail*
Please use the email address you'll want us to use to communicate with you
Gender Identity (Current)*
Face Book Name link (if you are on FB?) Please include a full link to your FB page*
We need this to invite you to the private FB training group before the training and to the Level 1 Graduates FB group after the training
Date of Birth*

DayMonthYear
Emergency Contact*
Name, Phone and Email
Are you coming to the training with an intimate partner?*

NoYes
If yes, who?
Room mate requests .
Share the names of anyone you know (who is going to the training) who you would like to share your room with, and we will do our best to accommodate you.
Relationship Boundaries & Agreements

If you are currently in a relationship/partnership, we strongly recommend that you agree upon your relationship boundaries before arriving to the training, regardless of whether your partner is attending the training with you or not.
These would include boundaries around intimacy, intimate touch, sexual engagement, safer sex practices etc.
The ISTA field encourages transparency, open communication and authentic expression of desires with integrity.
Training Questionnaire
Tuition
What is the tuition you are signing up for? You will receive a confirmation if you were on time and after we have received payment of your deposit into our account*

€1750 - Repeater (one of the 5 spots)€2050 - Regular Camper / Camping (one of the 5 spots)€2150 - Regular€2150 - Regular Wait List (once we are fully booked, you can enlist here)
Booking of an extra night (€120 pppn, including breakfast & lunch on 22nd, cash only) before the training, arrival after 8pm on 21/4.*

YesNo
Employer or Own Company
Will you participate through your employer or own company?*

YesNo
If yes, the employer or company pays the tuition excluding VAT (21% needs to be added on top of the mentioned price). The name, address and VAT number of my own company are:
Repeater
I would like to Repeat the L1 training. Please indicate which Level 1 training(s) you have done: Include the dates, location and faculty names.
Health
Dietary restrictions? Check all that apply We do our best to meet all food requirements if given 2 weeks notice*

No dietary restrictionsVegetarianVeganGluten-freeNo meatNo fishNo dairyNo eggsNo tofu/tempeh/tvpNo onionsNo garlicRaw (you will need to bring some of your own food)Keto (you will need to bring some of your own food)I need to prepare some of my own foodOther
Additional food allergies, dietary restrictions, or important notes (such as needing refrigerator space)*
Do you have any special needs (mobility, hearing, eye-sight, difficulty with speaking / understanding English, etc) or significant allergies (bee strings, latex, etc)?*
Are you currently taking any medications? Please list:*
ISTA’s initiatory program is a week-long experience. It is an individual process supported by a group field designed to awaken strong emotions and work with personal and sexual expression.

We bring awareness and nourish aspects emphasizing self-responsibility as an essential requirement to navigate sexual, shamanic, and spiritual spaces.

Our field acknowledges, continues to evolve, and includes some of the gifts of trauma-informed models. However, ISTA trainings are NOT a replacement for physical-emotional-mental therapy and are NOT focused on treating pathology.

ISTA trainings are also not presuming to treat complex trauma or personality disorders.

If you suffer from severe trauma, mental illness, or are taking medications, we recommend you consult your therapist / psychiatrist to check if participating is advisable.

The ISTA field activates the life force and is, at times, emotionally intense. We recommend that individuals working with known deep-seated traumas or an inability to down-regulate oneself seek one-on-one sessions and get approval from their therapist before participating in this group process.

As a mystery school, ISTA approaches trauma from the shamanic perspective of connecting with the body and soul. Guided by a growth-centered view, ISTA supports consciousness-raising for those exposed to trauma to be agents in the creation of their own well-being rather than solely victims of traumatic events, thus, overcoming images of themselves as being powerless and being able to take charge of their lives.

Please consider if your mental health is ready and capable of undertaking such powerful initiations and if you can take responsibility for your mental stability.

PLEASE CONSIDER IF JOINING ISTA IS RIGHT FOR YOU.

On that basis, we, the facilitators, acknowledge and recognize our responsibility to offer participants nondiscriminatory care, a consent-focused space, and appropriate support concerning the process as you navigate the ISTA journey.

The ISTA facilitation team
I have read, understood, and agreed to the above terms and commitments and take 100% responsibility for such*

Yes
Please inform us if you have or have had any significant major medical surgery and any mental health challenges in your life. We ask this in order to take care of you. Please particularly note any psychotic events or similar. This information will remain confidential within the facilitator team. It is imperative that you share any details of health issues, physical, emotional or mental. This is an intensive training that may stir up strong emotions and for your safety we need to ensure that you are adequately prepared and looked after.*
Community Connections
How did you hear about this specific training?*

The organizer invited you/told you about itThe lead facilitator invited you/told you about itOne of the co-facilitators (tell us who below) invited you/told you about itAnother ISTA faculty (please write below)An ISTA Graduate (please write below)The Facebook Event for this trainingISTA Community Facebook GroupISTA Facebook PageISTA WebsiteOther
What made you decide to come to the training?*

The training/content feels amazing!The facilitators feel awesome!The organizer feels awesome!I met other participants and they felt awesomeDates worked the best for meOne or more friend(s) have done the trainingOne or more friend(s) are doing this trainingOther
Life Review
What are your motivations and intentions for attending ISTA level 1 and how do you intend to apply the understanding you gain from attending?*
What experience do you have (if any) of working as a practitioner, teacher, healer or facilitator?*
What experience do you have (if any) receiving your own (sexual) healing work?*
What personal growth work have you undertaken in your life? (therapy, seminars, yogic training, etc.)*
What spiritual path or tradition (if any) do you follow or have you followed in the past?*
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, please do! (We ask for this information as it helps us to hold a better container for participants as they move through this work.)*
Are there any major sexual themes or current relationship issues you are working through:*
Are you ready to experience high levels of ecstasy and have fun?*
Payment & Refund
A commitment to the spiritual sexual shamanic training is a deep commitment to yourself. It is assumed that, if you feel drawn to this training, it is no accident.

Please pay the deposit of €500,- to secure your registration.

1) If cancelling on or over 30 days before the date of the training, your payments will be refunded minus a €150 admin fee as well as any non-recoverable costs (such as bank / PayPal transfer fees, venue, catering, etc)

2) If cancelling under 30 days before the date of the training, your payments will be refunded minus a €500 admin fee as well as any non-recoverable costs (such as bank / PayPal transfer fees, venue, catering, etc).

3) If you have not paid your balance less than 30 days before the first day of the training, your registration may be considered a cancellation and the same terms (in [2]) may apply.

4) If you cancel within less than 7 days before the start date of the training, NO REFUNDS or TRANSFERS will be issued.

** Remaining balance is due March 22, 2024- 4 weeks before starting date of the training. If we still have not received your entire balance by then, you run the risk of your spot being filled by someone else. Please notify us immediately if you need more time.

Please notice to add PayPal and bank fees to the total balance.

Is your cancellation related to Covid, please read our policy here
REFUND POLICY I have read and understood the Refund Policy*

Yes, I agree
Have you paid the deposit of €500?*

Yes
Payment type?*

Bank transferPayPalOther
ISTA Level 1 Agreements
The list below reflects a decade of delivering these events around the world and are designed to support us to have the most powerful and safe container possible. We honour sovereignity and personal responsibility. Please read and check all agreements below unless anything poses an issue or raises questions for you. If anything does, please indicate in the space below. We will be reviewing these in opening circle together.
Please check the agreements below to which you agree*

I agree to breathe, to feel, to be present and to be authentic.I agree to maintain confidentiality. This means not disclosing any individual’s identities, stories, and experiences. I am free to speak about my own experience in the training.I agree to show up for class each day at the agreed upon time for the duration of the training.I understand that everything that occurs during this training (from opening circle to closing circle) is part of the transformational process of the event.I agree to request support, guidance, and help using clear direct requests when I desire it.I agree to be coachable and I am open to feedback and direction from facilitators.I agree to take full responsibility for the nature of my experience.This course is designed to awaken powerful emotional energies. I agree to use the tools, techniques and philosophies being taught to process these emotions.I agree to refrain from drugs and alcohol during the training.I agree to not gossip on the training about others, and to speak directly to the person I have an issue with. If someone attempts to gossip with me about others, I agree to support them to speak directly to the person concerned.I agree to ask people if they want feedback before I give it to them, and at a time that is suitable for both of us.I understand that this retreat explores sexuality. As adults (including facilitators) we agree to be responsible for our own sexual experiences and interactions with others. If I choose to act on my or others desires, I will use clear direct verbal communication and safer sex practices.I agree to allow people to have their experience and not intervene unless they ask for support: ie not passing tissues or giving touch/hugs or advice that has not been requested.If at any time I feel that the training is not appropriate for me or I wish to leave the training, I agree to bring my concerns directly to the course instructors.I understand that if I break these agreements, I may be compromising the value I could receive from this training.I agree that specific course details are only examples of what may occur as each event unfolds uniquely.
Are there any concerns you have about any of the agreements?*
SIGNATURE: By checking this box I affirm I have read and understand the agreements of ISTA level 1*

Yes, I have read and understand the agreements as mentioned above.
Release of Liability
RELEASE OF LIABILITY, please open and read the link below before registering. By checking this box I affirm I have read and understand the Release of Liability*

https://docs.google.com/document/d/1xoMzmztNej-Yp528bVB4TMoJ4OVHVaq4bo1mVingI0cYes, I have read, understand and agree to the Release of Liability.
Participant Consent Agreement RELEASE OF LIABILITY, please open and read the link below before registering. By checking this box I affirm I have read and understand the Participant Consent Agreement Release of Liability*

https://docs.google.com/document/d/114nVXHItmf1EaU9VuxPRa7_eEpkmZVCuZh-N5KlkghQYes, I have read, understood, and agreed to the above terms and commitments and take 100% responsibility for such.
Release of Liability NAME:*
Release of Liability DATE:*

DagMaandJaar
Comments: Is there anything else you want to tell us?
THANK YOU!

In gratitude for your time and energy filling out this form.
We are looking forward to meeting you soon!
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