Name *

First Name

Last Name

Phone *

Country

(###)

###

####

5) Check all that interest you and/or you’d like to experience in the Shades of Non-Monogamy program: (feel free to identify another option and elaborate on question #12): *

EDUCATION (Information on Non-Monogamy concepts, theories, research)

SKILL BUILDING Personal & Interpersonal (communication, problem solving, negotiating agreements, navigating consent, confronting challenging parts of non-monogamy, etc)

EXPERIENCES (self and partnered reflections exercises, practicing skills, fun challenges and games, social gatherings, sex-positive events, etc)

COMMUNITY AND SUPPORT (connect with other like-minded folks, supporting each other through Non-monogamy challenges, learn from others with different non-monogamous dynamics, openly share with others that can relate, etc)

RESOURCES (other non-monogamy leaders and educators, educational sources, internet folks openly sharing about their non-monogamy, social spaces, research, etc)

RESOURCES (other non-monogamy leaders and educators, educational sources, internet folks openly sharing about their non-monogamy, social spaces, research, etc)

6) Select any expressions of non-monogamy you are most interested in (feel free to identify any other non-monogamy not listed here, in question #12): *

Romantic Non-monogamy

Sexual Non-monogamy

Intimate Non-sexual Non-monogamy

Intimate Non-sexual Non-monogamy

Open relationship

Swinging

Polyamory

Monogamish

Polygamy

Situational Non-monogamy

Solo and Non-monogamous

Friendship with Benefits

Relationship Anarchy

Community/Wealth Building

Kinky Dynamic

Other

8) Are you ready and willing to make a 4-figure investment and commitment to yourself to live your BEST non-monogamous life? *

Yes!

Not right now

Maybe. I have questions/concerns