When registering for one or more of R&R Tantra Intimate Remedies activities,
please follow the instructions below to be sure you get registered properly.
If you are attending and R&R Tantra Intimate Remedies Workshop, Private Sessions or Seminars and an overnight stay is needed, no need to worry lodging will be provided by us. *Please note Meals, Drinks & Room Service are not included
*Please note our locations of our Workshops and Events vary so it is very important that you provide us with a current email and or a phone number in order to get directions. We provide Workshops and Events all over the United States so this information is very important.
*Step 1* Please email Info@rnrtantra.com with your Name and Contact Info, along with the Event or Events you would like to attend so we can be sure to reserve a spot for you. Please include the location of the Event and the number of people attending.
*Step 2* Please fill this form out and you can choose to send the form back by either email or by US mail to R&R Tantra Intimate Remedies when complete. Each person attending will need to fill out a Registration Form.
R&R Tantra Intimate Remedies offer a few options for payment:
1. Pay in full when returning your Registration Forms
2. Pay 50% of the total cost when returning you Registration Forms.
(The remaining balance will be due
7 days prior to your event date)
*Refund Policy*
Please be sure you want to attend before registering.
Refund policy is strictly adhered to *no refunds on the day of the event
or 7 days prior to the event*
*Cancellation Fees*
60 days 25% of price 30-59 days 35% of price 7-29 days 50% of price
Registration Form
R & R Tantra Intimate Remedies Enrollment Registration Application
Please complete the following registration application before attending any R & R Tantra Intimate Remedies programs, events, workshops, seminars, private sessions. If you’re a couple please complete a separate form for each of you. We have groups for all relationship structures, styles and sexual orientations.
First Name _________________ Last Name ___________________
I am: ___ male ___ female ___ couple ___ single ___ married ___ in a relationship but attending as a single
if you're in a relationship, how long have you been together?
___ in a committed relationship ___ years, ___ months
* Birth date: Month ________ Day ________ Year ______
1. Describe yourself - your qualities, traits, characteristics and challenges. ________________________________________________________
2. What would you like? (If more than one apply, number in order of preference). _____ celibacy _____ committed, exclusive, living together, primary relationship, one to one _____ committed, exclusive, living together, primary relationship _____ committed relationship _____ fetish (please describe _______________________) _____ living alone _____ marriage _____ monogamy (married to one person) _____ open relationship _____ open marriage (married to one person, dating outside of marriage) _____ single and dating (one person at a time) _____ single and dating (more than one person at a time) _____ swinging/lifestyles (sexual episodes) _____ tantra/tantric (sacred sexuality) _____ other (please explain) _________________________
3. Do you have any experience with tantra? If so, please describe ___________________________________________________________
3A. Describe your first experience with masturbation. ___________________________________________________________
3B. Describe your first experience with orgasm. ___________________________________________________________
3C. Describe your first experience having sex with another person. ____________________________________________________________
3D. Describe your first experience with intercourse. ____________________________________________________________
4. What is your current relationship status? ____________________________________________________________
5. Are you happy? To what degree? ____________________________________________________________
6. If you’re not happy, what do you seek? ____________________________________________________________
7. Are you and your partner(s) sexually active? ______________________
If not, is there a reason? Please explain. ____________________________
8. What are your attitudes toward nudity? _____________________________________________________________
9. What are your attitudes towards sexual behavior, orientations or relationship structures that are different than yours? _____________________________________________________________
10. Describe your boundaries and limitations around sexual interactions with people you just meet ( like for instance the people who attend the workshops ) ie. can you speak openly?, can you take part in group activities? _____________________________________________________________
11. Do you have children? ____ If so, how many? ______ Are they grown? _____
Do they live with you? _____
12. Do you want children _____ If so, how many children do you want?______
13. If you were raised by a single parent, how did that affect you? _____________________________________________________________
14. Describe two critical events in your growing up that affect you to this day. _________________________________________________ ____________
15. What was the cumulative effect of your childhood on who you are now? __________________________________________________ ___________
16. Describe two peak events from your past that affect you to this day? ___________________________________________________ __________
17. Describe your physical appearance. Attach photos, several if possible, to show your many moods. _________________________________________________ ____________
18. Height ____________ Weight _____________ Body Type ____________
19. What else would you like to tell us about your physical self: ______________________________________________________________
20. Do you have any physical challenges and if so, do you need any special considerations for these challenges? _________________________________________________ _____________
21. Describe your Personality: _______________________________________________________________
22. What are your best qualities? _______________________________________________________________
23. What are your faults? _______________________________________________________________
24. What are your interests (sexually)? _______________________________________________________________
25. Describe your boundaries(sexually): _______________________________________________________________
26. Describe your limitations (sexually): _______________________________________________________________
27. Describe your expectations (sexually): _______________________________________________________________
28. Describe your desires (sexually): _______________________________________________________________
29. Describe your fantasies (sexually): _______________________________________________________________
30. Do you have any fetishes? If so, please describe ___________________________________________________________ ____
31. What do you seek in relationship? __________________________________________ _____________________
32. Describe their personality: ________________________________________________________________
33. What are the qualities of your ideal mate? ________________________________________________________________
34. Describe your current sexual or intimate relationships: _________________________________________________ _______________
35. Please tell us anything else about yourself that you think would be relevant for us to know: _____________________________________________ ___________________
36. What attracts you to the R & R Tantra Intimate Remedies events and classes? _______________________________________________ _________________
I’m interested in: Events, workshops, seminars or groups that meet:
___ Morning ____ Afternoon ___ Evening ___ All Day Workshops ___ Two Day Events ___ Overnight Private Sessions ___ Counseling/Coaching/Therapy ___ Private Sessions
Please allow R & R Tantra Intimate Remedies sufficient time to go over your registration and get in contact with you if necessary. Check or money order accepted. Check must be received at least one week prior to the event you’re attending so it may clear the bank. You will be provided with the address in which to mail this form.
Date/Time I want my appointment _________________ AM/PM
Payment in full required before admission service, group, class or function.