|Please complete the following application before admission to
any School of Tantra programs, events, dating groups, workshops,
seminars, support groups or private sessions. Use a separate paper
to answer the longer questions and write N/A on questions that are
not applicable to you. If you’re a couple please complete a separate
form for each of you. You’re not required to answer all the
questions, however, the more you tell us about yourself, the better
your we’ll be able to help you and the better your sessions and
group experiences will be. We have groups for all relationship
structures, styles and sexual orientations You must be single to
attend Mingles for Singles. We have other groups for couples,
polyamorous and lifestyle people such as Tantra Connection, Club
Tantra, Hooking Up, Polyamory Connection..
First Name _______________________________ Last Name
______________________ Middle ____________
I am: (check all that apply)
___ In a committed relationship
___ In a relationship but attending as a single
I want to use:
___ my real name
___ my nickname Choose a nickname or
If you’re in a relationship, how long have you been together?
* Birth date: Month ________ Day ________ Year ______
Email _________________________________ Telephone: Home
Work Phone: (____)_______________________ Cell Phone:
Address: Street _______________________________ City:
State/Province: ___________________________ Zip: ______________
If visiting Maui, when did you arrive? _______ When will you depart?
I live on Maui ______ full time, _____ months a year
I visit Maui ______ times every _______ years for _____ weeks or
______ I verify that I am at least 18 years of age*. Birth Date
*(You must be 18 or older. Positive ID showing proof of age is
I am (pick the ones that best describe you):
___ Curious about the lifestyles
___ Other (Please describe)
1. Describe your existence - your qualities, traits, characteristics
2. What would you like? (If more than one apply, number in order of
_____ committed, exclusive, living together, primary relationship,
one to one
_____ committed, exclusive, living together, primary relationship
_____ committed relationship polyamory (more than one)
_____ community - non sexual
_____ community - sexual
_____ discreet affair
_____ fetish (please describe _______________________)
_____ group marriage (many people committed to each another)
_____ group lovemaking
_____ intimate network (group of lovers that all know one another or
know of one another)
_____ line marriage (committed group, all ages)
_____ living alone
_____ living together
_____ menage a trois (three way lovemaking)
_____ monogamy (married to one person)
_____ mono-poly (polyamorous couple who live together, date others
as a pair)
_____ no definition, decide what’’s right in the moment
_____ one on one sex
_____ playcouple (committed couple who play sexually with other
singles and couples)
_____ polyandry (one woman, many men)
_____ polyamory (loving more than one in an intimate relationship)
_____ polygamy (one man, several women)
_____ polyfidelity (closed circle of sexual intimacy)
_____ open relationship
_____ open marriage (married to one person, dating outside of
_____ serial monogamy (dating one at a time, for a limited time)
_____ 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)
_____ triad (committed threesome)
_____ other (please explain) _________________________
3. Do you have any experience with tantra? If so, please describe
3A. Describe your first experience with mastubation.
3B. Descibe your first orgasm.
3B. Describe your first sexual experience with another person.
3C. Describe your first experience with intercourse.
4. What attracts you to the School of Tantra events and classes?
5. Do you hope to find a date or connect with someone at this party,
group, seminar or event?
I am seeking: ____ single man; _____ single woman; _____ couple;
_____ triad; _____ foursome;
6. What is your current relationship status?
7. Are you happy? To what degree?
8. If you’re not happy, what do you seek?
9. Are you and your partner(s) sexually active? _______ If not, is
there a reason? Please explain.
10. I want to be involved with my partner(s): _____ full time, ____
weeks or _____ months a year
11. What are your attitudes toward nudity?
12. Would you be a) comfortable or b) uncomfortable with optional
nudity at a seminar or event you
13. What are your attitudes towards sexual behavior, orientations or
relationship structures different
14. Describe your boundaries and limitations around sexual
interactions with people you just meet (like, for instance, the
people who come to the workshop).
15. Do you have children? ____ If so, how many? ______ Are they
Do they live with you? _____
16. Do you want children _____ If so, how many children do you
17. Do you have pets? _____ If so, how many? ______ What kinds of
18. Do you want pets ? ______ What kind of pets do you want?
_____________ How many? _____
19. Who was in charge of you when you were little?
20. If you were raised by a single parent, how did that affect you?
21. What did you lack in a parent that you would like to find in a
22. How many siblings did you have?
23. What was your place in the birth order?
24. How did your place in the birth order affect you?
25. Describe the model of relating your parents showed you.
26. What did you think of your parents and the way they modeled
27. Of what they showed you, what would you like to keep, discard or
28. Describe two critical events in your growing up that affect you
to this day.
29. What was the cumulative effect of your childhood on who you are
30. Describe two peak events from your past that affect you to this
31. What are the different roles or aspects of your personality that
you must balance?
32. Imagine (or remember) a pastlife you had. What scripts from that
life still run through your
33. What were the religious or spiritual practices that you were
taught when you were young?
34. Did you follow those practices or rebel against them?
35. What are your religious and spiritual beliefs and practices now?
36. How do you follow your religious and spiritual practices?
37 Describe your physical appearance. Attach photos, several if
possible, to show your many moods.
38. Height ____________ Weight _____________ Body Type ____________
39. What else would you like to tell us about your physical self:
40. Do you have any physical challenges and if so, do you need any
special considerations for these challenges?
41. Describe your Personality:
42. What are your best qualities?
43. What are your faults?
44. Are you a jealous person? If so, how do you handle jealousy?
45. Describe an incident where you were jealous
46. How did you resolve your jealousy?
47. What are your interests?
47. Describe your boundaries:
49. Describe your limitations:
50. Describe your expectations:
51. Describe your desires:
52. Describe your fantasies:
53. Do you have any fetishes? If so, please describe
54. Do you read? If so, what are your favorite books?
55. Do you watch television? If so, what are your favorite shows?
56. Do you like movies? If so, what are your favorite movies?
57. What kind of music do you like?
58. What do you seek in relationship?
59. What do they look like?
60. Describe their personality:
61 What do you do when you notice someone that you’’re attracted to?
62. What are the qualities of your ideal mate?
63. What are their interests?
64. If everything turned out the way you wanted, what would that
65. Describe your current sexual or intimate relationships:
66. Please tell us anything else about yourself that you think would
be relevant for us to know:
67. I’m interested in: Events, workshops, seminars or groups that
___ Morning ____ Afternoon ___ Evening
___ All Day Events
___ Two Day Events
___ Weeklong Events
___ Certification Programs
___ Group Events
___ Private Sessions
SCHOLARSHIP PROGRAM: I would like to sponsor:
___ single woman
___ single man
___ male partnered but attending as a single
___ female partnered but attending as a single
I want to help them with: ___ Tuition, ___ Transportation, ___
Meals, ____ Accommodations
I can contribute $__________ towards their expenses
___ I need a sponsor:
I need help with: ___ Tuition, ___ Transportation, ___ Meals, ____
I can contribute $__________ towards my own expenses
Are you a current School of Tantra Member? Y/N ____ If so, when did
you register? ______________
Membership number ______ When does your membership expire?
An orientation interview is required before admission to any of our
programs-groups, classes or events. The Annual School of Tantra
Membership Fee is $150 per single or couple, $200 triad which
includes your application review, orientation interview/Tantra Basic
Class or private tutorial (see list below). The following private
tutorials serve as substitutions for your orientation interview
___ Annual Life Review and Introspection
___ How to Really Love A Woman
___ How to Really Love A Man
___ Orientation Interview/Tantra Basic Class
___ Polyamory 101
Event Name 1) ________________________________ 2)
Dates Attending 1) ______________________________ 2)
Payment: Check ____ Money Order ___ Master Card ___ VISA ___
Credit Card Number _______________________ Expiration Date _________
Signature _____________________________________________ Name on Card
Master Card, VISA, check or money order accepted. Check must be
received at least one week prior to the event you’re attending. Mail
this form along with a copy of your ID showing proof of age and
payment to the address below so that we may review it before your
appointment. Call 808-244-4103 to schedule your appointment.
Send completed forms to the address at the end of this form. call
and schedule your private orientation interview.
Allow sufficient time to schedule and complete your Orientation
Interview/Tantra Basic Class so that you’ll be admitted to the group
or class you wish to attend.
Date/Time I want my appointment _________________ AM/PM ____ Phone,
___ In Person
I want to attend my interview:
___ by myself
___ with __________________________________ (name of person)
Payment in full required before admission service, group, class or
SCHOOL OF TANTRA
1371 Malaihi Road, Wailuku, Maui, HI 96793
808-244-4103, www.schooloftantra.com, email: email@example.com