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EDEN COUPLE'S RETREAT APPLICATION

Please fill out this form to apply for the Eden Couples Tantric Retreat. We look forward to reviewing your application!

First name

Last name

Phone

Email

Address

Partner's First name

Partner's Last Name

Phone

Partner's Email

How did you hear about Eden?

What are your primary intentions for attending this retreat?

Deepen spiritual connection

Enhance intimacy and passion

Learn new tantric practices

Heal past wounds

Relax and de-stress

Explore conscious relationships

Other (please specify in the next question)

If you selected 'Other' above, please specify your intentions

On a scale of 1 to 5, how open are you to exploring new spiritual and sexual practices?

Do you have any prior experience with Tantra or similar practices?

Yes

No

Some

Please describe your current relationship dynamic and what you hope to gain from this retreat as a couple.

Do you have any medical conditions or allergies we should be aware of?

Are you comfortable with group exercises and sharing in a group setting?

Yes

No

Unsure

What best describes your relationship?

Married

Engaged

Long Term Relationship

Conscious non-monogamous

Other (please describe below)

If "Other," please describe your relationship style

What do you love most about your relationship right now?

What are you current growth edges or challenges?

Why are you feeling called to attend EDEN at this time?

What would a breakthrough look like for you?

Are you open to exploring partner-based intimacy practices, embodiment, and group ritual (always with clear consent)?

Yes

No

I have questions (please explain below)

If you answered "I have questions" in the last section, please share your questions below.

Are you comfortable being in a group of conscious, intimate couples?

Yes

No

Somewhat/ I'm open but nervous

Are you open to optional, lightly guided heart-opening medicine (e.g. cacao or microdose mushrooms)?

Yes

No

I'd like to learn more

Please rate your experience with the following practices (as a couple or individually):

→ Linear scale 1–5 (Brand New – Very Experienced)

Experience & Familiarity

Tantra / Sacred Sexuality

1

2

3

4

5

Breathwork (e.g. Wim Hof, Holotropic, Tantric)

1

2

3

4

5

Somatic Healing / Body-Based Therapy

1

2

3

4

5

Energy Work (e.g. Reiki, Polarity, Kundalini)

1

2

3

4

5

Couples Therapy or Relationship Coaching

1

2

3

4

5

Emotional Processing / Shadow Work

1

2

3

4

5

Plant Medicine / Sacred Ceremony

1

2

3

4

5

Conscious Kink / Erotic Power Play

1

2

3

4

5

Dance / Embodiment / Movement

1

2

3

4

5

Meditation / Mindfulness

1

2

3

4

5

Ritual & Ceremonial Practice

1

2

3

4

5

Do you feel aligned in your experience levels, or are you in different places?

Anything else you’ve practiced or explored that feels relevant?

Logistics & Commitment

Which accommodation tier are you most interested in?

VIP Master Suite – $6,500

Tier One Suite – $5,500

Tier Two Suite – $3,500

Open to any

Not sure yet – need more info

Would you like to add the optional couples photo/video shoot with Everett Satoru? ($750) See his film and photography work: www.everettsatoru.com

Yes

No

Tell me more

Are you ready to place a 50% deposit (or pay in full) if accepted?

Yes

Not yet - I have questions

I need a payment plan

Consent Agreement

We understand this is a curated, intimate experience and that applying does not guarantee acceptance.

We are applying with honesty, openness, and a sincere intention to grow and co-create a sacred container.

We are willing to be witnessed, supported, and challenged in love.

Once submitted, we’ll review your application and reach out with next steps. Spaces are limited to 12 couples.

© 2025 by Erotic Mystics

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