Please fill the form below to attend the event.
The purpose of this document is to clarify legal and medical terms, which are important to know in order to participate in a ceremony of ancestral medicine.
We are committed to keeping any information you provide to us, under strict confidentiality.
Please let us know of any other issues, illnesses or problems that are not included in this form.
IMPORTANT: By clicking the “SUBMIT FORM” button you are giving your full consent and agree with the terms stated in this document:
I fully agree and understand that the shamanic work includes the intake and treatment with ancestral entheogen medicinal plants, such as Ayahuasca and Aguacolla, whose principal synthesized components are respectively known as DMT (Dimethyltryptamine) and Mescaline. I am fully responsible for any decision I may take related with this work during and after the event.
In full possession of my mental capabilities, I hereby declare to be in good physical, physiological and psychological condition, and free of any illness that may endanger my life in order to participate in any activities related to the ceremonies. I assume complete responsibility for my belongings and for arranging secure transportation to and from the ceremony or workshop location.
Likewise, I understand that those responsible for the event have the right to deny my participation if they consider it necessary to secure my health or that of any other attending participants. I agree to listen and follow the instructions given by the guides and those responsible for the event, either by the healers, assistants or any other person in charge, previously introduced and attending the ceremony.
I am responsible for any damage I may cause to the facilities or supplies used for the ceremony. I promise to keep this work confidential, for the safety, trust and respect to all the participants. I will not reveal the identities of the people attending this event. This includes the organizers, assistants and any other person involved. I will keep in total confidentiality what is spoken and done during the ceremony, not only by the guide, but also by ALL the participants.
Through this document, I resign and terminate any lawsuit I may wish to file against the leader (shaman) of the event, the organizers and/or the participants, and resign of any and all complaints, and lawsuits, which may arise due to or related to the event. I declare that my only intention is to participate with the purest intentions from my heart to heal and better my quality of life, and my relationships. I look for the same health and wellbeing for all attending participants in this event.
Upon signing this document (by clicking the SUBMIT FORM), I acknowledge and declare that I have read and understand what has been stated in the above document and I voluntarily sign in agreement with everything.