Cacao Ceremony & Sweat Lodge Registration form

Name

First Name

Last Name

Email Address

Phone

Country

(###)

###

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Attending Date

Please let us know if you are either coming on Saturday, Sunday or Both

Do you have medical condition that may affect you or prevent you for using the Sweat Lodge?

Please tell us if there is something we need to know about your health that may affect you in the Sweat Lodge e.g heart problems, anxiety etc.

What are the reasons why you are attending the Sweat Lodge

How did you hear about us?

Are you driving to the farm ?

Can you offer to share your car with others coming to the farm?

If Yes please lets us know, tell us where are you coming from.

Payment

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