Temazcal Registration
We are so grateful that you are considering spending time with us on the land at Mumbet's Freedom Farm.  We are honored to be stewards of this land within the Mohican Nation and to be hosting lodges here.  Space is limited to 13 participants.

We ask that you please fill out this form in its entirety.  

Information is confidential and for the expressed purposes of ensuring the health and wellbeing of all participants.

Sign in to Google to save your progress. Learn more
Email *
Please share your telephone number so we can contact you if needed.
Please share your name. *
Please share your  pronouns, if you feel comfortable in doing so.
Is this your first time participating in a sweat? *
If you have participated in a sweat before, please share briefly about what you enjoyed, experienced, explored or learned in your previous experience. *
Do you have any medical conditions that affect your physical health?  We will be in a space with varying levels of heat and need to be aware of any conditions. *
If yes, please share more.
Are you taking any prescription medications? *
Have you tested positive for Covid in the past two weeks? *
Would you be willing to provide proof of a negative Covid test before attending? *
Do you plan to camp or stay overnight at Race Brook Lodge
Clear selection
We will have a potluck following the sweat to nourish and replenish our bodies. What do you plan to bring?
Do you have any needs or desires/dreams we should be aware of?
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mumbet's Freedom Farm. Report Abuse