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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.
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Email
*
Your email
Please share your telephone number so we can contact you if needed.
Your answer
Please share your name.
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Your answer
Please share your pronouns, if you feel comfortable in doing so.
Your answer
Is this your first time participating in a sweat?
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Yes
No
Other:
If you have participated in a sweat before, please share briefly about what you enjoyed, experienced, explored or learned in your previous experience.
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Your answer
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.
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Yes
No
Other:
If yes, please share more.
Your answer
Are you taking any prescription medications?
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Yes. I have sweat before while taking this medication and will share with Team Mumbet's any considerations if necessary.
Yes. I have not sweat while taking this medication and will share with Team Mumbet's any considerations if necessary.
No
Have you tested positive for Covid in the past two weeks?
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Yes
No
Not Sure
Would you be willing to provide proof of a negative Covid test before attending?
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Yes
No
Do you plan to camp or stay overnight at Race Brook Lodge
Camping
Race Brook Lodge
Other
Dont plan to stay overnight
Clear selection
We will have a potluck following the sweat to nourish and replenish our bodies. What do you plan to bring?
Your answer
Do you have any needs or desires/dreams we should be aware of?
Your answer
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