We would like to take a moment to thank you for your interest in Entheogenic Church and Shamanic Ananda. This is very courageous work and we commend you for working with us in this way. All community members who want to participate must complete this prospective participant form first. The purpose of this assessment is to keep the work safe. Please spend the next 15 to 30 minutes to complete this form. YOU MUST COMPLETE THIS FORM IN ONE SITTING OR ANSWERS WILL DISAPPEAR 

Note: writing answers on google doc before might be supportive to then copy and paste the answers into the text boxes. 

The information collective will support your guide to understand potential circumstances based upon your responses. This will support to prevent any unforeseen issues before they occur. Please be honest with your answers. You matter and your experience matters, so please be gentle, kind, and transparent. Any information which is determined to be inaccurate is grounds for not attending future: masterminds, ceremonies, meditations, retreats, workshops, coaching, events, et cetera.

AS A PARTICIPANT:

I UNDERSTAND THAT THE INFORMATION PROVIDED HEREIN WILL ONLY BE USED TO DETERMINE IF IT IS APPROPRIATE FOR ME TO PARTICIPATE AND WHOM TO CONTACT IN AN EMERGENCY. THIS INFORMATION MAY BE REVIEWED AND DISCUSSED WITH THE GUIDE. ALL INFORMATION WILL REMAIN CONFIDENTIAL. MY CONFIDENTIAL INFORMATION WILL BE USED TO ASSESS THE TYPES OF EXPEREINCE THAT WILL WORK BEST FOR ME.

Lastly, we use this form as a way to monitor and register our wait list. Filling this out ASAP supports your line in our wait list. Thank you so much for your patience and we will connect with you as soon as possible.