Priestess School Application Form

It’s important for us to know you to make sure you will receive the maximum benefits from the training.

Applying for the training *

Name *

First Name Last Name

Recent Photo *

Max file size 1024KB, allowed file types: jpg, jpeg, png, gif

Date of birth *

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Phone Number *

Area Code Phone Number

E-mail *

Birthplace *

Country of current residence *

How did you hear about us? *

Language(s) *

Current profession *

Relationship status *

Do you have children?

Do you have any injuries or health issues? *

Please specify psychiatric history or diagnosis, psychiatric drugs taken in the past, psychological therapies undertaken? *

Are you currently taking medication? If yes, please specify type and frequency (including birth control): *

Are you using tobacco, alcohol or recreational drugs? Please specify *

Experience in Yoga, Tantra, shamanism or other forms of spiritual work: *

Reasons for attending the training:

Things you’ve done in your life that were a good idea. *

Primary diet *

Do you have any food allergies? *

Do you have any special requirements?

Interests:

Emergency contact, their relationship to you and contact details: *

Any additional information about you: