TANTRA CERTIFICATION PROGRAM
REGISTRATION FORM 

Copy and paste this form to your email that you are sending to us at schooloftantra@aol.com.  Or print it and fill it out and mail it.  Or if you have received this form in an email, you may fill in this form and return it by clicking "reply" on your email program and filling in the blanks.  If more than two people are registering and you are sending by mail, copy this registration form for additional person or couple and send forms in same envelope.   

Tantra School
, Level I is held the third week of every month, Monday through Saturday from 9-5 pm in Maui, Hawaii.  Tantra School is not gender balanced.  Singles, couples and groups are admitted.  If you wish to attend Tantra School with a partner, go to www.tantraconnection.com and register for free to find your tantric partner(s) or post a message at TantraConnection@yahoogroups.com.  Limited Accommodations available on campus.  Register early if you wish to stay on campus with us.  Be sure to arrive early to get acclimated before class.  You may wish to stay afterwards to hang out with your new friends and enjoy the beauty of Maui.   
Tuition: $1495 single, $2295 pair, per level  

For the online registration form click Here.

DATE(s) YOU WISH TO ATTEND _________________________    Number of people registering: ______  
 

Correspondence Course               Level(s) for which you are enrolling              


* Register and prepay (in full) 30 or more days before the event to get the discounted price.

TANTRA SCHOOL SCHEDULE  

Level I: CERTIFIED TANTRA PRACTITIONER (C.T.P.)

Level II: CERTIFIED TANTRA COACH
Level III: CERTIFIED TANTRA INSTRUCTOR 
 
 Level IV: CERTIFIED TANTRA
LECTURER  
Level V:
PROFESSOR OF TANTRIC STUDIES

Tuition: $595 single, $995 pair, per level Maui Attendence; Correspondence $895 per level per student 

Level I: CERTIFIED TANTRA PRACTITIONER (C.T.P.)   ______ Prerequisite: Phone Interview  
Level II:CERTIFIED TANTRA COACH (C.T.C.)               ______  Prerequisite: Completion of Certified Tantra Practitioner (C.T.P.) Program 
Level III:CERTIFIED TANTRA LECTURER (C.T.L.)          ______  Prerequisite: Completion of Certified Tantra Coach (C.T.C.) Program
Level IV:CERTIFIED TANTRA INSTRUCTOR (C.T.I.)       ______  Prerequisite: Completion of Certified Tantra Lecturer (C.T.L.) Program
Level V:PROFESSOR OF TANTRIC STUDIES (P.T.S.)   ______  Prerequisite: Completion of Certified Tantra Instructor (C.T.I.) Program
CLASSES:  
ELECTRONIC CORRESPONDENCE CLASS ______ $100.00 (graded by Dr. Lessin and applicable towards certification)  (Click here for list of classes)
ELECTRONIC CORRESPONDENCE CLASS ______ $50.00 - not graded
TUTORIALS _____  $150/HOUR    I wish to schedule ____ hours

Person 1 Information:

First Name _______________________________  Last Name  ______________________ 

I am male ____   female _____   Birth date:  Month ________  Day ________  Year ______  (you must be 18 or older)

Email  _________________________________

Telephone:    Home (____)_______________________ 
                    Work: (____)_______________________ 
                    Cell:(____)_________________________

Address: Street _________________________________ City: _________________________________ 

State/Province: ___________________________  Zip: ______________   Country: _______________________

Person 2 Information:

First Name _______________________________  Last Name  ______________________ 

I am male ____   female _____   Birth date:  Month ________  Day ________  Year ______  (you must be 18 or older)

Email  _________________________________

Telephone:    Home (____)_______________________ 
                    Work: (____)_______________________ 
                    Cell:(____)_________________________

Address: Street _________________________________ City: _________________________________ 

State/Province: ___________________________  Zip: ______________   Country: _______________________

Registration method - Option 1.
___ I am confirming my attendance at the Tantra School and will send a check in the mail.  My credit card information to hold my space is below.
If my check does not arrive on time, I prefer Option 2_____  

Registration method - Option 2
___  E-mail (registration@schooloftantra.com) or phone in your credit card information  (CC number, name on credit card, expiration date) for a fee of $1695.00   


____  I want to have a private session during my visit.  I wish to reserve _____ hours at $150/hour.  

____  I need accommodations on campus for these DATES _______________    

Please indicate your 1st, 2nd and 3rd choice of accommodations.  You will be sent written confirmation of your reservation.  

___ Tent Site ($25/night)   ____ Dorm Space ($35/night)  ____ Loft Room w/Futon ($50 night)  ___  Loft Room w/King Bed ($65 night)  

___ *Private Room/Private Bath ($75 night)   *Studio Apartment ($125 night).   

*  Three night minimum stay.

I plan to arrive on DATE __________   TIME _____

PAYMENT BY: _____ CHECK / _____ VISA* / ____MC* / ____ MONEY ORDER _____ 


If your check, credit card, or money order is covering anyone other than yourself, please say who you are paying for and give their e-mail address and phone number.

 __________________________________________________________________________________________________________________________

CREDIT CARD INFORMATION
Credit Card payments will appear on your statements as paid to “World Tantra Association”

Name on Credit Card (including any middle initial): _______________________________________________________________________________________
                                                   First                                  Middle Initial                                        Last

Complete Billing address on Credit Card ________________________________________________________________________________________________
                                                                                 Street                                                     City                                                             Zip
Credit Card Number: ___________________________________ Expiration date :_____/______/

TOTAL AMOUNT PAID: $ ________  50% DEPOSIT REQUIRED TO HOLD YOUR SPACE.  BALANCE DUE UPON ARRIVAL.


No refunds on the day of the event or 5 days prior to the event.  

CANCELLATION FEES
90 days or more - 25% of price 
60 days or more - 40% of price 
31-59 days - 50% of price 
6-30 days - 75% of price

Mail Registration Form, with check or money order payable, to:
World Tantra Association, 1371 Malaihi Road, Wailuku, Maui, HI  96793 (808) 244-4103

For more information: www.worldtantraassociation.com
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