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Aya the Tiger Camp Interest Form
Please take time to thoroughly read and answer each question.
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Email *
Name *
Phone Number (including Country Code) *
In what capacity are you wishing to join the camp? *
Required
What brings you to Aya the Tiger?
Please share about yourself and why you feel the call to Aya the Tiger.
 *
Number of Burns Attended? *
Required
Who may we thank for referring you? *
Do you have any personal experience with psychedelic/empathogen medicines?
 *
Required
If yes, how long ago and in what setting?
If you answered no, please write N/A
 *
Do you have any training in psychedelic/empathogen medicine support?
 *
Required
If yes, when and what training?
If you answered no, please write N/A
 *
Is there anything you would like to add or anything you think we should be aware of? *
Thank you for taking the time to complete this form. We will be in contact with you soon!
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