You are applying to the March 20-23, 2025, Body Temple Sensuality Training in Arizona. Please confirm this is the training date you wish to attend.
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Yes, I confirm.
No, I intended to apply for a different date (please specify):
Name
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First Name
Last Name
Date of Birth
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DD
YYYY
Email
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
What is the best way to reach you in case we need to discuss your application or accommodations?
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Name of Emergency Contact
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First Name
Last Name
Relationship to Emergency Contact
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Phone number
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Please provide the phone number for your emergency contact
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What are you hoping to gain by attending this training?
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How do you plan to apply what you learn during Body Temple in your life?
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What areas of personal growth, besides sexuality and sensuality, are you most excited to explore through this training?
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Are there any emotional challenges or stressors you are currently experiencing that you feel may impact your participation?
What are some things about your PAST experiences with sensuality and sexuality you’d like us to know?
What does the idea of healing or expanding your sensuality mean to you?
Do you have any medical conditions, accessibility needs, or other considerations (e.g., mobility, sensory, or other support) that we should be aware of to ensure your full participation and comfort during the training?
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Are there any specific activities (e.g., yoga, hiking, group discussions) that you may need support or modifications for? If so, please share details to help us accommodate you.
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Do you have any cultural or religious practices or needs we should be aware of to ensure a respectful and inclusive experience?
Are you comfortable with nudity in shared practices?
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Yes, I am comfortable.
No, I have concerns and would like to discuss.
I’m not sure at this time but would like to reflect on this further.
Do you have any dietary restrictions or preferences?
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Vegetarian
Vegan
Gluten-free
Dairy-free
Other - please specify
Which sleeping option do you prefer?
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Private Room
Shared Room (with 1-4 other participants)
Glamping Option (shared living space, bring your own sleeping bag)
Is there anything else we should know to ensure your sleeping arrangements are comfortable?
In further consideration of participating in Body Temple training, I knowingly, voluntarily, and expressly waive any claim I may have against Veronica Clark, Sol Revolution, Inc., and other immersion instructors, for injury or damages that I may sustain as a result of participating in the immersion. I, my heirs, and legal representatives forever release, waive, discharge, and covenant not to sue Veronica Clark, Sol Revolution, Inc., other immersion organizers, and/or instructors for any injury.
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Type your First and Last Name to confirm that you have read, understood, and agree to the above statements.
While I understand that photos and videos will be taken during non-sensitive times of Body Temple. I understand that I can choose to not participate in any of the photo ops.
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Yes, I consent to the use of my photos.
No, I do not consent to the use of my photos.
Please indicate your social media preferences:
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I am fine with being tagged in photos.
I prefer not to be tagged in any photos on social media.
Instagram Handle
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Facebook and LinkedIn
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Is there anything else you would like us to know?