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We are so looking forward to knowing more about you.
Please answer the following to the best of your ability
TRAUMA
PTSD/CPTSD
BI-POLAR
DEPRESSION
AUSTISM
SUBSTANCE ABUSE or ADDICTION
SUICIDAL IDEATION
PERSONALITY DISORDER
SCHIZOAFFECTIVE DISORDER
OTHER
Are you a Sovereign Being, willing to take full responsibility for yourself (spiritually, mentally, emotionally and physically) before, during and after the ceremony?
Yes
No
I attest that the information presented in this application is true and accurate
I understand that everything in this application will be held in sacred safety within the facilitators of this experience and held in confidentiality
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