Aya Ceremonies with Letizia Xiuh

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1 Welcome

2 Price

3 Optional Items

Preparation Session with Paula Afonso

This session is 30-45 min long and can be in-person or online. For Preparation Sessions you can expect: * Clarification of all your questions in order for you to feel safe and confident before partaking in Medicine * Dietary Recommendations * Emotional Support & Guidelines for your enjoyment * Space of Confidentiality and Sharing

$40.00

Integration Session with Paula Afonso

This session is 1 hr long and can be done in-person or online. For Integration Sessions you can expect : * Deep Listening and Reflective Tools to bring the Insights of your Journey Together * Guidance to adjust & integrate your life after the Experience * Safe Container for sharing your feelings, reflections and new states of Awareness * Long-term support also available, concerning your needs and desires to continue to work with Medicine

$65.00

Preparation & Integration Sessions with Paula Afonso

This is a package of Integration and Preparation Sessions with Paula - total 1.5-2 hrs long and can be in-person or online. For Preparation Sessions you can expect : * Clarification of all your questions in order for you to feel safe and confident before partaking in Medicine * Dietary Recommendations * Emotional Support & Guidelines for your enjoyment * Space of Confidentiality and Sharing For Integration Sessions you can expect: * Deep Listening and Reflective Tools to bring the Insights of your Journey Together * Guidance to adjust & integrate your life after the Experience * Safe Container for sharing your feelings, reflections and new states of Awareness * Long-term support also available, concerning your needs and desires to continue to work with Medicine

$85.00

Song Ceremony Song Book PDF

$18.00

Forest Path Ceremonial Study PDF- Volume 1

$18.00

Fire Prayer Song Book PDF

$11.00

Selections Jaya's Hinario Song Book PDF

$11.00

Oracao Santo Daime Study Song Book PDF

$5.00

Forest Path Ceremonial Study PDF- Volume 2

$18.00

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4 Participant Info

Address
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Comments or Special Needs
Birth Date *
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Discount code
Is this your first time sitting with Ayahuasca? *	Yes No
If you have attended this type of session before, please let us know where you participated and how many times.
Who is recommending you?
You agree to the following. *	The information provided above is a complete and accurate statement of the physical and psychological factors which may affect my participation in the Works of Forest Path. I realise that failure to disclose such information could result in serious harm to me and/or fellow participants and I agree to indemnify and hold harmless Forest Path if all relevant information is not disclosed. I also agree to notify Forest Path should there be any changes in my health status. I hereby confirm that I have read and understood the above information and have answered all the questions completely and honestly and have not withheld any information. My general health, as far as I am aware, is good.
Reason for counseling (if applicable): *	Academic Suicide Depression Substance Abuse Career Divorce Family Issues Other
Is there anything else about your health status of which we should be aware of? *
Please elaborate on anything that was checked YES in the previous question.
To assist us, please check the boxes that apply to your current or past condition. Your responses will remain strictly confidential. *	Cardiovascular disease, including heart attacks High blood pressure Recent surgery Prone to seizures now or in the past Any pre-existing heart conditions Recent or current infectious or communicable diseases Pregnant Been hospitalized within the last 2 years Have a psychiatric diagnosis Been hospitalized for psychiatric reasons Pre-existing mental health issues Currently in therapy or involved in a type of support group Have been in counseling with a psychiatrist, psychologist, or other counselor within the past two years Use medication None
Are you taking any form of medication? If yes, please state its name, how long you have been taking it and what it is for. *
You agree to the terms and conditions. *	The undersigned hereby seeks to participate in the Céu do Som Work and understands that the Centre desires to ensure the safety of all participants. In order to assist Céu do Som in this regard, I agree to complete the Confidential Medical history form provided. I am assured that the information provided will remain strictly confidential and will serve only as a guide in determining the appropriateness of my participation in the work and in meeting my needs before, during and after the ceremony. I have been informed of the nature of those works, the needed preparations and the rules of the ceremonies. I commit myself to stay in the Centre until the end of the ceremony and to respect the directives given by the guardians named by the Facilitator of the session.
Please state your personal reason for attending. *
Do you have any experience with mental/psycho-spiritual disciplines? i.e. Yoga, Meditation. *
Do you have any questions, comments or concerns?

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5 Payment

4.8% Credit card fee	$0

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50% Deposit	$0

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