Women's workshop application

This form is for people who would like to request one of the following Workshops for a Private Group. If you wish to join one of these retreats as part of a group, please check first our Upcoming Events

Name *
Phone *
What workshop are you interested in *
We have a 4 module workshop for women. You can choose one module, or all 4 or alternatively, you can request a personalized retreat.
Is this a private workshop for you and friends? Is this going to be part of a larger event (if so, explain the context of the event), are you looking to bring me to a city and promote my workshop?
Please describe the context, the audience, their level of work related to intimacy practices, their age, etc.
What dates would you need this to happen? *
What dates would you need this to happen?