YOU ARE NOT HERE BY ACCIDENT New Moon Plant Medicine Registration Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Current Age *Which Group are you registering for *Plant Medicine Group July 17thHow did you hear about this group *FacebookInstagramTik TokFriendOtherIf friend please name person who referred you. If other please explainWould you like to be added to our mailing list to keep up to date with offerings? *YesNoIt is important that you have an understanding of the two potent plant medicines being offered in this group. *By clicking yes you agree and are stating that you have reviewed and read about both Sanaga and Rapéh on Sapo Spirit's website and have a basic understanding of what to expect for the woman's group!Are you Currently Pregnant *YesNoAre you breastfeeding *yesnoHave you had recent eye surgery *YesNoIf you answered yes please share what date and type of surgery *Briefly explain your personal history working with plant or spirit medicines. If this will be your first experience please let us know. *What are you hoping to get out of this experience? The more detail you provide the better we will be able to support you *To register for this group you are asked to send the $60 exchange via email transfer within 24 hours to sapospirit@shaw.ca. Please note that if the exchange is not sent within 24hrs after registration you are at risk for losing your spot. By clicking YES you agree to these terms *YesNoPOLICY UPDATE: Refunds will only be issued up to 72hrs prior to the event. Any cancellation after 72hrs will be non refundable and non transferable. By clicking yes you agree to these terms. *YesNoI acknowledge that participation in these sacred ceremonies may involve discomfort and unexpected physical, mental or emotional upset. In submitting this release document, I agree to waive all rights to seek or receive compensation in case of injury, loss or damage. I choose to attend this work as a result of my research and interest in ceremonies. I understand that my participation in this ceremony is entirely voluntary and I agree to remain at the ceremony to its completion. I accept that the ceremony practitioners and helpers make no claim or promise about the curing of illness of any kind, or about the nature of any spiritual experience which I understand is entirely personal. I understand that my participation in these ceremonies may be physically, mentally, emotionally or spiritually demanding. I understand that I may experience dizziness, nausea or other physical upset including vomiting and diarrhea. I accept full responsibility for anything that may occur including emotional disturbance, mental disorientation and any and all possible manifestations of physical, emotional and mental changes. I acknowledge that I am aware of the risks and potential benefits of my participation and I freely choose to enter this process, accepting full responsibility for whatever may occur whether anticipated or unanticipated. I acknowledge that I will make alternate arrangements for transportation in the event that I may be physically or mentally exhausted and/or disoriented after the ceremony. I am informed of the nature of the ceremony, the needed preparation and the rules of the ceremonies. I commit myself to stay in the circle until the end of the ceremony and to respect the directives given by the organizers, helpers and facilitators(s) of the ceremony. I hereby knowingly and voluntarily assume the full risks of any physical or moral injury, damage or losses, either to myself or caused to others by me during the Ceremony. I hereby waive the liability of and agree to hold harmless: the practitioner(s), all the helpers, associates, employees, agents, staff, family successors, volunteers and other participants. I further agree to defend and indemnify them from any claims, suits and demands. This agreement is binding upon myself, my spouse, parents, family, heirs, executors, administrators, agents and assigns.I hereby confirm that I have read and understood the above information and have answered all the questions completely and honestly and have not withheld any information. I have read, understood and consent to the waiver voluntarily.Submit