Name
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First Name
Last Name
Email
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Phone
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Where in the world do you reside?
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What is your age?
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What is your career if you have one?
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What is your website and/or social media link?
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What is the most exciting thing about being in Creativity in Love?
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What prior experience do you have with any of the following: tantra, yogic embodiment, feminine embodiment, acting, improv, therapy, tantra and conscious relating?
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What ingredient(s) do you foresee your presence adding to the group energy?
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Are you single, partnered, in a situationship or something else?
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What's your biggest 1.) complaint in relationship and 2.) desire in relationship?
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If one radically important thing shifted in your love life by the end of the program, what would that one thing be?
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Are you able to commit to attending each call? (If you already know a specific call you will be unavailable for, please list it here to have it pre-approved)
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Are you able to commit to the in-person weekend immersion? (If you are in a different country and know you will not be able to attend, let us know here)
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Are you ready to make a financial investment of $7,500 to be in Creativity in Love?
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Yes
No (if this is your answer we will not be able to move forward with your application)
Please select which payment option you prefer.
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Pay in Full: $7,500
Four Payments of $2,000 (billed automatically one month apart)
Have you thoroughly read the requirements section and can agree?
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Yes
No (if this is your answer, please go back to the Creativity in Love page and read before applying)
What is your relationship to integrity? (being on time, doing what you say you’ll do, following through)
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Are you willing to make noise, be uncomfortable, try new things, and go into darker emotional places?
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Is there anything you would like to know about the program before committing?
Is there anything else you would like me to know about you?
Where did you discover this program?