Form of the ceremony/retreat participant
By completing this form, you give us permission to process your personal data, based on which we will make a decision regarding your participation in the ceremony/retreat.
How did you find out about us?
Other:
What kind of retreat do you want to go on ?
Have you ever seated with Mushroom medicine?
Have you ever seated with Ayahuasca?
Please tick below in case of any of these situations
https://tinyurl.com/MedicationsList
I declare that the information described here is true. I am fully aware of what this ceremony is about and what my purpose of participating in it is. I declare that I participate of my own free will, and I assume full responsibility for participation.
Нажимая на кнопку, вы даете согласие на обработку персональных данных и соглашаетесь c политикой конфиденциальности