Port Credit Summer of Medicine 2023 - Intake Forms
Welcome and thank you for your interest in participating in the Summer of Medicine with Rebecca and Ashley in Port Credit (Mississauga). There will be 3 different types of medicine ceremonies available to sign up for. 

Please take some time to read over all the information about the ceremonies, fill out the intake form, and make your payment to secure your spot. 

We have created one master intake form for your convenience so whether you choose to sit with one type of medicine or all three this will be the only form you will need to fill out. 

Exchange information:
Group Kambo - $250 
San Pedro - $400
Bufo - $444
Private Kambo $350 - (upon availability)

E Transfer accepted:  ceremony@shamansisters.com / kambo.ash@gmail.com
Credit Card accepted here

Kambo + San Pedro Package - $600 (+$50 overnight accomodations)
Any 3 combination of ceremonies - 10% off total amount  (2 kambo, 1 San Pedro = 250+250+400+10%= $810)
Any 6 combination of ceremonies - 20% off total amount 

Dates:

April 29 - Kambo

April 30 - Bufo

May 28 - Kambo/Bufo 

June 2 - Kambo 

June 3 - San Pedro 

June 10 - Kambo

June 11 - Bufo

July 7 - Kambo 

July 8 - San Pedro 

July 13-16 - Urban Amphibian Retreat (the program: 3 kambos + bufo + activities)

July 29 - Kambo

July 30 - Bufo 

Aug 4 - Kambo 

Aug 5 - San Pedro

*** If you plan to sit with Bufo and San Pedro please note that 4-6 weeks is required between either medicines, please plan accordingly *** 

____________________________________________________________________________________________________________

Information for Kambo, San Pedro, and Bufo to follow:

Hello Kambò Participants!
 
The safety of all clients, as well as preserving the integrity of Kambo, is of the upmost importance
to us. As responsible Kambo Practitioners, it is integral that we understand where clients are
when it comes to their health and well-being and whether it is safe to administer Kambo to an individual.
To ensure the safety of everyone participating in a Kambo ceremony, it is extremely important for all
clients to answer the Kambo Session Intake Form with great care and honesty. This applies to listing
all medical conditions, medicines, supplements and any substances taken or being taken, as there may be
contraindications that could pose a risk to an individual’s well-being and safety.

IT IS IMPORTANT TO NOTE THAT NONE OF THE SERVICES OFFERED DURING THIS CEREMONY
CONSTITUTE ANY FORM OF MEDICAL PRACTICE. WE ARE NOT DOCTORS NOR ANY OTHER FORM OF MEDICAL PRACTITIONERS. WE DO NOT DIAGNOSE DISEASE, OFFER HEALTH ADVICE,  OR PRESCRIBE MEDICINES. KAMBO IS A SHAMANIC RITUAL AND CEREMONY FROM THE AMAZON RAINFOREST - IT IS NOT A MEDICAL TREATMENT. PARTICIPANTS ARE ADVISED TO DO THEIR OWN RESEARCH AS TO THE POTENTIAL BENEFITS OF TAKING KAMBO. NONE ARE OFFERED, IMPLIED OR GUARANTEED HERE.

***As a gentle reminder to honour the medicine, our time, and scheduling your deposit to secure your ceremony date is non-refundable. ***

Thank you for your understanding.

—— CONTRAINDICATIONS-----—-
If you have or have had ANY of the following, you cannot safely take Kambo. It could be fatal, so please inform us immediately.

  • Serious heart problems
  • Stroke
  • Medication for low blood pressure
  • Brain hemorrhage
  • Blood clots/aneurysm
  • Ehlers Danlos Syndrome
  • Addison’s Disease
  • Undergoing Chemotherapy or Radiotherapy for 4-6 weeks afterwards
  • Taking immune suppressants for organ transplant
  • Recovering from major surgery
  • Pregnant or may be so
  • Breastfeeding a child under 6 months
  • Serious Mental Health Issues, excluding depression, anxiety, PTSD
  • Anti-psychotics
  • Methadone, Buprenorphine, Naltrexone, Krokodil (Desomorphine), Pink
  • Lack the mental capacity to make decision to take kambo
  • Under 18
The following are CAUTIONED so please inform us of details in the questionnaire:
  • Taking immune suppressants for autoimmune disorders
  • Epilepsy
  • Slimming, serotonin or sleeping supplements
  • Active drug or alcohol addiction
  • Long term or water fasting 7 days before or after Kambo
  • Colonics, Enemas, liver flushes or any water based detox should be avoided 3 days before and after Kambo, as the loss of sodium could be dangerous.
  • Sweat lodges, hot yoga and marathons should also be avoided 2-3 days before and after Kambo
____________________________________________________________________________________________________________

San Pedro is a heart-opening medicine that is known as the grandfather medicine and is a cactus that is native to the Andes mountains. It has been used for healing for almost 3000 years. For many, a San Pedro journey offers deep insight into the self and the universe, giving one a greater sense of connection and spirituality. Mescaline is also known for fostering compassion and gratitude, while alleviating psychological disorders such as anxiety, depression, PTSD and addiction. 

SAN PEDRO IS NOT SUITABLE FOR YOU:
  • If you suffer from: schizophrenia, bipolar disorder, psychosis, borderline or certain other mental disorders.
  • If you have or have had any of the following illnesses or conditions: severe kidney disease, unstable diabetes mellitus, epilepsy, severe neurological disorders, hypertension, cardiovascular diseases such as angina pectoris, strokes and CVAs, an existing or expected pheochromocytoma (a tumour of the adrenal glands), blood dyscrasias (abnormal cells), hyperthyroidism (overactive thyroid gland) and certain liver disorders.
  • If you take antidepressants (you should stop taking them 4-8 weeks before your ceremony).
  • If you take painkillers, sleeping pills or products for migraines and allergies (you should stop taking them 3 to 6 days before your ceremony).
  • If you are pregnant or breastfeeding.
  • If you want to combine alcohol or drugs like cocaine, amphetamine, MDMA, etc. with San Pedro.
____________________________________________________________________________________________________________

Bufo Alvarius aka Toad, 5MEO DMT is the strongest entheogen/psychedelic in the world.  It is known as the “God Molecule,” and can produce life changing results for the participant.  That being said, this ceremony is not appropriate for persons with certain medical conditions or for persons using certain medications. If you have any doubt or concerns about whether you should participate, consult with Ashley.

Please be aware that the list of contraindicated substances includes, but is not limited to, SSRIs, antidepressants, anti psychotics. It is important to share truthfully and completely all information to ensure that you are fit for a safe ceremony with the Toad.

Pregnancy and breastfeeding are contraindicated. If a mother is in the final stages of breastfeeding, it is possible to pump, please speak to Ashley directly.

Failure to disclose any medical condition or medication can result in hazardous conditions for the participant.

It’s best practice to wait minimum of 7-10 days after any vaccinations you may have received, before sitting in ceremony with the Toad.

Ashley Brunette accepts no liability for any conditions arising from false or incomplete information provided by the client.

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Email *
General questions for all medicines
Full Name *
Phone Number *
Date of Birth *
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Emergency Contact/ Relations/ Phone Number *
Have you received any Covid Vaccinations? How many?
Which medicines are you interested in sitting with this summer? *
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