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Healing Ceremonies
Mexico
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About Us
Healing
Healing stays
Useful information
Sacred plants
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Independent application
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Personal Data
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Health condition
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Food and accommodation
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Working with plants
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Price of stay and deposit
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Name and Surname
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E-mail
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City
Jobs
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Sex
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Men
Women
Phone Number
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Number of Passport
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Country of Residence
Age
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Contact a close person
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Medicines or supplements you are currently taking
Current health status:
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Declaration of medical certification
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I agree and agree to be bound by these terms and conditions
I declare that I did not conceal information about my health condition or the medications I am taking while filling out the form. I declare that I do not suffer from any of the following diseases: Moderate or severe hypertension or hypotension, diabetes, schizophrenia, heart disease or weakness, epilepsy and other diseases in which there is a risk of seizures, infectious or contagious diseases, suicidal tendencies, any diseases, on which the patient is taking anti-psychotics or drugs causing MAOI (monoamine oxidase inhibition). I declare that I am not a drug addict. I am aware that withholding information about my medical condition may result in injury or death. I understand that the use of pharmaceutical drugs, drugs or alcohol is not allowed to participants during the "Healing Mexico Ceremonies" stay without the prior consent of the organizers of this stay. I am aware that the use of medication may lead to the immediate termination of my participation in the stay without the possibility of compensation. I also understand that all medications must be stopped long enough before the stay that they no longer affect the normal state of the body and that there are no interactions with natural medicines, unless I am allowed to continue taking them in advance in writing after consulting with the organizers of the Healing Mexico Ceremonies stay these drugs. I am aware that discontinuing the prescribed medication should only be done after consultation with my doctor.
I agree and release the organizers from responsibility, which I fully assume
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I agree and release the organizers from responsibility, which I fully assume
All activities during the stay, except herbal ceremonies or jungle trips, are considered very safe and are in the hands of experts. Even so, they carry the risk of injury to health or property, for which the organizer of the stay does not assume responsibility. Everyone participates in any activities voluntarily and at their own discretion
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Select the type of catering:
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Normal (does not exclude chicken and fish)
Vegetarian
Vegetarian except for fish
Vegan
Allergy to a food component:
Type of accommodation you prefer:
Room with 2 beds - I'm going on a trip with someone
Room with 2 beds - I don't mind sharing a room with another participant of the same sex
Private room with 1 bed - I require privacy for an additional fee
Room-mate:
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Do you have previous experience with Ayahuasca or other plants
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If so, who was it with and what were the results of this work
What do you want to achieve during the concentration and what are your expectations?
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Price Guarantee
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I understand that the prices of stays may change and may differ for individual participants. The valid and guaranteed price for this application is listed at the top of this page
Non-refundable deposit
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I take note of the booking conditions: The deposit (including any booking fee for a private room) is fully non-refundable. The deposit is not tied to the name. Therefore, if in the event of your non-participation, you arrange for another substitute participant who meets the conditions for admission, he can use your deposit to reserve his stay
Where did you hear about us?
If from the Internet, from which sites?
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Message for organizers Healing Mexico Ceremonies
I declare that I have fully understood and filled out this registration form truthfully and that I have not been forced to do so. I attach my name as confirmation:
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Healing Ceremonies
Mexico
Home
About Us
Healing
Healing stays
Useful information
Sacred plants
Contact