Bondassage Professional Training Intake Form Apply to learn Bondassage Massage Leave this field blank Your First and Last Name Your Email Address Your Phone Number Your Gender (optional) Pronouns (optional) She/her He/him They/them She/them He/them Not listed Your Age (optional) Do you identify as BIPOC, LGBTQIA+ or as a sex educator? Please describe/share more. (I offer a limited number of specially priced trainings for these groups. You may qualify if this would be helpful for you. Let’s discuss.) Are you currently a sex worker/erotic professional? (optional) Yes No Please describe / share more Work name (if relevant) (optional) Your work website (if relevant) (optional) How did you find me? (optional) Which of my offerings are you interested in (you can indicate more than one and * indicates special rates may apply): Bondassage® professional training ONLY (2 days :: $4295*) Bondassage® + Elysium training (3 days :: $5295*) Bondassage® + Elysium + Milking Table training (3 days :: $5695*) Bondassage® + Elysium + Milking Table VIP training package (training + table :: $6795*) Milking Table training only (2 hours :: $500) Milking Table VIP training package (training + table :: $1600) What has inspired you to want to learn these new skills? What has inspired you to want to work with me specifically? (optional) What are some intentions/outcomes you hope to achieve personally as well as professionally by training with me? (optional) Beyond Bondassage®, Elysium and/or Milking Table, are there other skills, etc you’d like to learn or refine during our training time together? (optional) Is there anything else you’d like to share about yourself, where you currently are in your life, significant things about your business, etc to help me get to know you better? Do you have any questions for me? Feel free to schedule a discovery call/AMA session with me so we can answer all your questions and make sure we craft the ideal training for you. Use this link here: (optional) https://calendly.com/clairerumore/lets-connect If you're unable to find a time in my Calendly for a discovery call, please send me an email at hello@clairerumore.com so we can find other dates/times that can work. Thank you Send
