Application Form for Tantra Massage Training

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APPLICATION FOR TANTRA MASSAGE TRAINING COURSE


*Name
*Surname
*Email Address
*Gender	<Female><Male>
*Age Group	<18-29><30-45><over 45>
Address
*City or Town
*Country of Residence
*Mobile phone number
*Relationship Status	<Single><Married><Other>
*Children?	<No><Yes><Dependent><Independent>
*Your Experience
*Details of your experience
*Any tantra experience (indicate as many as apply)
*Details of tantra courses/ teachers etc
	<Professionally independent> <Affiliate> <Referrals> <Personal Use> <other>
*Timing	<Part-time><full-time>
*Your Venue	<work from home><clinic or other rooms><other>
*Are you prepared to travel to give sessions?	<Yes><No>
*Do you have a massage table?	<Yes><No>
*Are you prepared to massage Men Women Couples	<Yes, all><No><Maybe><just men><just women><couples>
*Your motivation - reasons for wanting to learn tantra massage
Anything else you would like to tell me?

Forms are under construction! If any part of the form does not work, please put details in last text box...

Thank you

Ally

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