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If you are human, leave this field blank.

How many participants in your group? *

Where are you located? *

Regarding workshop space, choose one: *

What is the budget you are working with? *

What are your interests? *

Shamanic Medicine

Shamanic Studies

Shamanic Dance

Shamanic Circles

Tantra

Relationship/Love Coaching

Spirituality

Cacao Ceremony

Chakra Activation

Yoga/Kundalini Activation

Sound Healing & Meditation

Transformation Groups

Women's Groups

Men's Groups

Temple Bodywork Training

Evolution for Executives

Transparent Communication

Counseling for Corporations

Family Counseling

OtherOther

Check all that apply

Any additional information you'd like to add?

Select all teachers you are interested in *

Queen Love

Bast

Sofia Thom

Mark Whitwell

Luna Lauren

Luxy Star

Teresa Angel

Sola Rose Dawn

Halo Seronko

Maya Celeste

Lana Brooke

Ciela Belle

Ariana Adara

Raven Rose

Sasha Nicole

Ash Lyn

Samantha Belair

Oshun Ishelle

Violet Jolie

Kat V

OtherOther

Personal Identification Section

Choose one or more options *

LinkedIn Profile

Professional Website

IMDB Profile

Your IMDB URL *

Your Website URL *

Your LinkedIn URL *

Facebook URL (optional)

Contact Name *

Single Line Text *

Cell Phone *

Alternate Phone

Email Address *

Profession/Student/or Place of Employment *

If we google your name & town, will anything show up to verify your identification? *

Yes

No

This information is not stored or retained, we respect your privacy.

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