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Your Name
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Date of Birth:
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Phone No:
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Address:
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City:
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Email:
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Relationship:
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Children at home:
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Age(s)of children (if applicable):
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Please indicate interest in doing
the training:
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If you choose to work as a Tantra
Goddess do you have premises you can work from?:
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Has Kerry or Diane spoken to you
already about the training?:
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Have you ever studied or practiced :
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Have you read books , articles, or
attended workshops on Tantra or Personal Development? Please outline:
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Please outline your motivation for
wanting to do this training, and anything else you would like to
mention:
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