(Please share your personal intentions, what you are hoping to explore, and what you wish to receive from this journey.)
If yes, please provide details:
If yes, please provide details:
If yes, please provide details:
If yes, please provide details:
If yes, please provide details:
If yes, please provide details:
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f yes, please provide details and current management (therapy, medication, etc.):
If yes, please describe how you navigate these moments:
If no, please specify any concerns or limits:
If yes, please specify:
If yes, please describe:
Thank You for Your Presence
Thank you for taking the time to complete this application with presence, care, and honesty. We recognize that filling out these questions may have brought up reflections, emotions, and memories — and we honour the courage it takes to meet yourself in this way.
This is not just a form — it is the beginning of a sacred agreement. By slowing down to answer with truth and integrity, you have already begun the journey. The process of applying is itself a powerful act of self-inquiry and intention.
The Intimacy Project is not a casual space — it is a living temple, held with deep reverence and responsibility. We are committed to maintaining the integrity of this space by ensuring that every individual who enters is truly ready for the depth of this work — emotionally, physically, and energetically.
Your openness allows us to support you in the most respectful and informed way possible, and ensures that the collective field remains safe, nurturing, and coherent for all participants.
This application is the first step in a three-part journey:
This written application – your self-reflection and full disclosure.
A personal interview with Ana X Chakora, our lead facilitator.
A final interview with Samarth Gupta, our Tantra teacher and guide.
Each stage is an opportunity for mutual clarity — to confirm that this path is right for you, and that you are ready to walk it with awareness.
Once you are accepted, a final agreement will be shared to clearly outline accommodation arrangements, our responsibilities to you, and your responsibilities within the space.
Thank you again for showing up so fully. We see you, and we honour your journey.
With warmth,
The Intimacy Project Team
