Peru Pre-screen form
Thank you for answering the following questions in complete honesty. All organizers related to this event decline all responsibility for any problems arising from the failure or lack of truthfulness in the answers to the following questions.
Its is in your interest and responsibility to inform us of any medical condition / Intake of medicine and dietary changes 2 WEEKS Prior to your retreat. We want to cater to your needs. Please select the approriate choice that you have read and understand the Pre / Post diet requirements and that you will inform us / organizer regarding any Medical condition / intake of medicine / dietary changes 2 weeks prior to your retreat.
Please select the appropriate choice that you have read and understand the pre / post diet requirements and that you will inform Pretty Profundo regarding any medical condition / intake of medicine / dietary changes 2 weeks prior to your retreat or earlier.
Following questions are required.
ALL INFORMATION WILL BE KEPT CONFIDENTIAL
Have you Experienced any of the following Medicines
Please let us know your medical information
Do you have any of the following:
Are you currently taking any of the following (select all that apply):
NOTE: Be aware and mindful of if you are taking any kind of recreational drugs, sleeping pills, or antidepressants medicine you need to stop taking them at least 4 weeks prior the retreat, as well get a clearance and consult from your doctor for your own wellbeing.
I guarantee the accuracy of information given and take full responsibility for the consequences of any omissions or untruthfulness.
I certify that I voluntarily participate in the ceremonies organized by Pretty Profundo.
I understand that shamanic work may include the use of traditional healing plants. I agree to take full responsobility for my own belongings, during and to/from the ceremony.
I resepect the opportunity to the work within myself with plant medicine, which can help with important aspect to both my phsyical and mental well being. I have chosen this path of healing out of my own free will, and understand that the medicine works uniquely to each individual
I understand that Pretty Profundo reserve the right to deny my participation if they deem that it would be unsafe for me, or for any other important reason.
I agree to listen and follow the instructions given Pretty Profundo.
I take full responsibility for any damage that I may cause to the facility that is used for the ceremony.
I also understand that any unknown ailment that I may have is not the responsibility of the facilitators.
To maintain the safety, trust and respect for all participants, I agree to keep this work confidential.
I will not reveal to anyone the identity of those who are participating in the event, this includes maintaining confidentiality for all facilitators, helpers, shamans or healers who are also participating in the ceremony.
I hereby RELEASE, DISCHARGE AND COMMIT NOT TO SUE the event leader, organizers and/or participants for any and all liabilities, claims and demands related to the event.
I agree to participate with the purest intention of heart, promoting the health and wellbeing of all participants. I agree to inform Pretty Profundo regarding Medical condition / intake of medicine / dietary changes 2 weeks prior to the retreat.
Your content has been submitted
Your content has been submitted