Thank you for trusting me to guide and support you this holiday season.
You’ve just made a long-term investment in yourself.
Please fill out the Lifestyle + Habits intake form below.
There is a separate health and liability form for Kambo linked at the bottom of the page. It is required that you answer in full honesty, as it can be dangerous if any information about your physical or mental health is omitted or lied about.
Some of the questions may be repeated in both forms.
Thank you for taking the time to fill out the intake forms.
In addition to the general lifestyle and habits form, please take some time to read ALL of the information on Kambo, which can be found here, and fill out the Health and Liability waiver linked in the “Contraindications” section.
Kambo Ceremonies will be on Sundays. Please read all the FAQ and Preparatory information here to ensure that you understand the restrictions for food, drink, and drugs before and after the ceremonies.
