Apply to Body Temple Sensuality Training Name * First Name Last Name Email * Phone (###) ### #### Date of Birth * MM DD YYYY What pronouns do you use (she/her, he/him, they/them, etc.) * Why are you interested in attending Body Temple and what do you hope to gain from the experience? * What experiences, if any, have you had with personal growth/healing work? * Are you comfortable with practices involving sensual movement, intimacy and vulnerability among other women? If no, why do you think that is? * How do you feel about challenging deeply held beliefs through introspection and group sharing? * Do you understand that certain practices like dance, yoga and rituals may involve non-sexual nudity if you choose to participate? * Existing Relationship: Marriage/ Domestic Partnerships Transformational work can impact an existing relationship in many ways. If one partner in a relationship is invested in deep inner-work but the other is not, it is common for an imbalance in the relationship to occur. If you have a partner, do they know you are enrolling in Body Temple and are they supportive? What have you shared with them about the course? How do you think that participating in Body Temple will influence the relationship? 1:1 session with you and your partner * Your tuition includes two 45 minute 1:1 sessions with Veronica. It is recommended that your partner join the second part of your first session to understand what you will experience during Body Temple. This helps create safety for both of you, includes your partner in your journey, and ensures they understand your needs when you return home. While this is not a requirement, it is encouraged and has been highly beneficial in fostering unity between partners who have attended Body Temple in the past. Would you like to include your partner in your call? Yes, I think it is wonderful that we are including my partner No, Something about this makes me feel uncomfortable Prior Experiences and Trauma History What are some wonderful or difficult things about your PAST experiences with sexuality and sensuality you want me to know? Do you have any physical, medical or health-related limitations we should be aware of in planning activities and ensuring your full participation and safety throughout the retreat? * Do you have any history of trauma, such as sexual abuse or domestic violence, that may impact your experience? If comfortable sharing details, please do so here so we can best support your needs. * What experiences, if any, might inhibit your full participation (physical limitations, trauma history, etc.)? Accessibility and Well Being Do you any food allergies or dietary restrictions we should be aware of in meal planning? * Do you require any specific accommodations due to physical disabilities or medical conditions? * Acknowledgement Acknowledgment of Participation: I acknowledge that I am participating in the Body Temple training, where I will receive information and instruction about yoga, holistic practices, shamanic and tantric initiations, and other healing modalities. * Print First and Last Name to Agree I recognize that yoga requires physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. * Print First and Last Name to Agree I represent and warrant that I am physically fit to participate in the Body Temple training. I have disclosed all known medical conditions to the practitioners. I agree to inform the practitioners of any changes in my health status before participating in any activities. * Print First and Last Name to Agree Assumption of Risk: I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, that I might incur as a result of participating in the Body Temple training. This includes all activities conducted with the group or individually during the immersion. Waiver of Claims: I knowingly, voluntarily, and expressly waive any claim I may have against Veronica Clark, Sol Revolution, Inc., and other immersion instructors for any injury or damages that I may sustain as a result of participating in the Body Temple training. I, my heirs, and legal representatives forever release, waive, discharge, and covenant not to sue Veronica Clark, Sol Revolution, Inc., other immersion organizers, and instructors for any injury or damages. If you have any questions or need further clarification regarding this waiver, please contact us before signing. By signing below, I acknowledge that I have read, understood, and agree to the terms of this liability waiver. * Print First and Last Name to Agree Cancelation Policy Non-Refundable and Non-Transferable Fee: I understand that the registration fee of $500.00 is non-refundable and non-transferable. If I paid for the course in full, I must complete the program within one year to avoid forfeiting my tuition. * Print First and Last Name to Agree Thank you for saying, "Yes" to a whole new way of loving yourself! See you in the Body Temple Thank you for applying to Body Temple Sensuality Training for Women. Your application will be reviewed within 48 hours at which points on of two things will happen: 1. Someone from the Body Temple team will get back to you if they have any questions or 2. You will receive a Welcome Email in your inbox. Thank you again, Veronica Clark and the Body Temple Team
