Registration Form ISTA Holland 2022

Thank you so much for your interest in the ISTA Level 1 training in Hemrik, The Netherlands, SSSEx from 12 - 18 April 2022.

Please fill out the following registration form and answer all questions clearly, succinctly and honestly so we can best cater to you and your needs.

We will treat all personal information with the utmost care and will only be shared within the trainers & assistents team.

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

Many blessings,
Joyce

Add a Personal Image*

Full Name (on passport)*

First NameLast Name

Name you like to be known as

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

E-mail*

example@example.com

Face Book Profile link (if you are on FB?)*

Example: https://www.facebook.com/joyce.bosch.3

Date of Birth*

DayMonthYear

Gender Identity (Current)*

Emergency Contact Name*

Emergency Contact Phone Number

Area CodePhone Number

Dietary Requirements (if any)*

Are you coming to the training with an intimate partner?*

NoYes

If yes who?

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.
ISTA field encourages transparency, open communication and authentic expression of desires with integrity.

Please answer the following questions clearly, succinctly and honestly.

How did you hear about this specific training?*

Have you done Level 1 before? And if yes, when, where and with whom?*

What are your motivations and intentions for attending ISTA level 1 and how do you intend to apply the understanding you gain from attending?*

If you really knew me, you would know that I have chosen to attend this training because...*

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 our participants as they move through this work.)*

The course may elicit powerful emotion (including ecstacy and wild laughter). Are you willing to work with your personal emotion material across our time together? Please list any concerns about this.*

Please share your significant health history: major medical surgery, any mental health issues and any current medications. 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.*

Are you ready to experience high levels of ecstasy and have fun?*

Disclaimer 1, please read before registering: I understand and recognise that some of the content in the ISTA trainings and exercises is of spiritual and sexual nature. I agree that what happens to me during the group, training or outside of sessions processes stays under my control and the ISTA teachers, assistents, session givers and organizers are not in any way held responsible. I agree to act responsibly in regards to my previously existing relationships or agreements and to seek advice from a facilitator during the training should I feel at any time uncomfortable with any of the exercises or interactions within the group.*