Vighan Bhairav Tantra Application

VIGHAN BHAIRAV TANTRA RETREAT

This questionnaire is confidential, and will only be seen by the organizer and the group facilitators. Please respond to all the following questions as fully as possible. Allow 5-10 minutes to answer all the questions. You need to complete the entire form, you cannot save your answers. Contact Sadhana at vbt-organizer@tantra-essence.com with any questions or issues.

Status

Name *

First

Last

Name You Would Like To Be Called *

Email *

Phone Number (with Country Code) *

Gender *

Age *

Nationality / Ethnic Background *

Profession *

Address *

The information requested below is very important. It will help the Group Facilitator(s) to work with you more effectively. The information will only be seen by the Group Facilitator(s) and the Group Organiser. You may continue on the back of this form if you need to.

1. Please give a summary of your experience in meditation and/or self-development groups. *

2. Have you had any previous experience of Tantra? If the answer to this question is “Yes” please outline this experience briefly. *

3. How did you find out about this group? *

4. What are your reasons for coming to this workshop? What are you hoping to learn or discover at this workshop? *

5. The group includes some physically active structures (some meditations and exercises and dancing). Please let us know if this will present any physical difficulties for you. *

6. Please tell us about any health issues and/or infectious diseases you may have. Please also tell us if you are on medication of any kind (please specify). *

7. Please indicate below if you have any history of psychiatric treatments or if you are currently taking any psychiatric medication. *

Please read and then sign the following text:

I understand that the group *

I understand that the group, session, and training processes with Ma Ananda Sarita focus on development of consciousness and individual responsibility. Therefore, I understand that I am responsible and I am invited not to do anything contrary to my values and in opposition to my consciousness.

I understand and recognise *

I understand and recognise that what happens to me during the group, training or session processes stays under my control and the Tantra-Essence group facilitators, session givers and organisers are not in any way responsible in the case of eventual physical problems or mental prejudice on my part.

I understand that I am participating in the processes *

I understand that I am participating in the processes with Ma Ananda Sarita for my own personal evolution and I agree not to teach the methods developed by Ma Ananda Sarita and her co-facilitators unless and until I am authorised to do so in writing and under contract by Ma Ananda Sarita. I understand that the permission to teach may be given only after I have completed the required amount of training and assisting, so that the principles and spirit of the methods are well represented.

I understand that none of the processes *

I understand that none of the processes offered by Ma Ananda Sarita and her co-facilitators takes the place of qualified medical advice and I realise that I am advised to seek such advice if I feel the need for it.

I am aware that I must not record or take photographs *

I am aware that I must not record anything or take photographs that happens in a Tantra Essence group without the prior permission of the group leaders and possibly also the other group members. This applies to both audio and video recordings.

Photos and Video of Venue *

If I wish to take photographs or video footage at any time during the retreat of people, of the venue and especially while the group is happening inside the group room I will ask the organiser for the Tantra Essence policy document on this subject. I am also aware that Osho Nisarga (the venue) may also have their own policy about this.

Signature *

Date *

VIGHAN BHAIRAV TANTRA RETREAT

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