Community Sweat Lodge Registration Form
We need to know a few things about you. Our intention is to make the experience safe and inclusive where possible, and you are responsible for our own experience and safety.
Dates you are attending *
Required
Name *
Your answer
Address *
Your answer
Email: *
Your answer
Phone No. *
Your answer
Next of kin contact info: *
Your answer
Do you have any experiences of Sweat Lodges ?Please say something about that. *
Your answer
Have you in the past or are you currently taking any form of medication? *
Your answer
Do you have any physical, emotional or mental health issues that would be useful for us to know about? *
Your answer
Please say something about why you are thinking of coming to this community sweatlodge. *
Your answer
What support/resources will help you integrate when you return home? *
Your answer
Please confirm by ticking below that you understand that you are responsible for your own safety and wellbeing when attending this retreat *
Required
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