Tantrikink® Academy Application for Singles

Tantrikink® Academy

Intake and Payment Form
Thank you for your interest in joining a Tantrikink® Training!

This application helps us create the safest and most supportive experience possible for all participants. Please answer each question with honesty and detail so we can understand your needs, intentions, and pairing preferences. Your responses are confidential and will only be used to ensure aligned and respectful practice partnerships within the training container.
Participant Information
Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*
Occupation*
Program Selection
Which Tantrikink® immersion are you applying to attend as a single participant? Please select from the upcoming immersions currently open for enrollment.*

Somatic Tantrasomatic BDSM
Program-Specific Goals
What inspires you to join this immersion?*
Have you had any prior experience with somatic practices, Tantra, conscious kink, BDSM, or other related modalities? If yes, please share a brief description.*
What are your top three intentions for participating in this immersion training?*
What draws you to the Tantrikink® Methodology, and what areas of your life are you seeking to transform or reclaim through this training?*
Self-Reflection
Are you currently experiencing challenges with self-connection, intimacy, or confidence? If yes, please elaborate.*
Describe your current relationship with your body and inner power.*
How do you handle emotional challenges or past wounds that arise?*
What practices or tools do you currently use to connect with your energy, emotions, or sexuality?*
Are there any fears or hesitations you have about joining this immersion training?*
Readiness and Commitment
This program requires time, energy, and a willingness to dive deep. Are you prepared to fully commit to the program’s structure and requirements? (Yes/No)If no, what potential obstacles might prevent your commitment?*
Do you have support in your personal life (e.g., friends, family, or partner) to help you integrate what you’ll learn?*
What outcomes would make this journey a success for you?*
Practical Details
Do you have any physical, emotional, or mental health conditions we should be aware of to ensure your safety and support during this program?*
How did you hear about the Tantrikink® Academy?*
Do you have any questions or concerns you would like addressed before starting?*
Pairing Preferences
Which sex are you comfortable practicing with during the immersion?*

Comfortable pairing with malesComfortable pairing with femalesComfortable pairing with both sexes
Note: To honor everyone’s comfort and ensure balanced practice pairings, we do our best to match based on your preferences. Please keep in mind that selecting only one sex may make pairing more limited.
Acknowledgments
I acknowledge that this program involves somatic practices, personal exploration, and may bring up strong emotions. I take full responsibility for my participation and commit to reaching out if I need additional support.*

YesNo
I understand that these programs are not a substitute for professional therapy or medical advice.*

YesNo
I agree to uphold the confidentiality of the group and respect other participants' experiences.*

YesNo
I understand and accept that all sales are final and that there is a strict no-refund policy.*

YesNo
Signature
By signing below, I confirm that the information provided is true and accurate to the best of my knowledge. *

Clear
Next Steps:

Once your application is reviewed and we have a suitable practice partner for you, we will reach out directly with your pairing confirmation. To secure your spot, you must be ready to commit with payment at that time. Please note that if payment is not made promptly, your place may be offered to another applicant who is ready to commit.

We appreciate your presence and intention in stepping into this work, and we look forward to welcoming you into the training container.
Should be Empty:

Tantrikink® Academy

Participant Information

Program Selection

Program-Specific Goals

Self-Reflection

Readiness and Commitment

Practical Details

Pairing Preferences

Acknowledgments

Signature