Open-Heart Tantra :: Registration

Open-Heart Tantra Workshops and Private Instruction

First Name:
Last Name:
E-mail:
Phone Number:
City & State:
Program:		"Two Become One" Workshop Sept. 24-26, 2010 Early bird registration by 9/15 345 USD (Price is per person) Workshop includes all program instruction & lunch both days (does not include breakfast, dinner or lodging)


1. What is your intention for attending this program?

*2. Have you ever participated in a tantra* program before? If yes, briefly describe your experience.**

3. Will you be attending this program with a partner?
Yes No
4. Do you have any health issues, food allergies or dietary requirements that we should be aware of?

Deposit: A 150 USD deposit per person is required to reserve your space. Final payment is due 10 days before the workshop begins. Cancellation Policy: There is a 150 USD non-refundable per person fee for workshop cancellations. Due to our accommodation arrangements, we regret that any cancellations within 7 days of the workshop will not receive a refund. Your Agreement: Submission of this registration form acknowledges your agreement with the program descriptions and the policies stated above in their entirety.