BeingLoveSanctuary

Your Waiver / Intake Form

*This form does not constitute legal advice. You should consult with a legal professional to create a waiver that meets your specific needs,

1. What draws you to the BeingLove Sanctuary? 

2. Have you participated in spiritual healing, sound ceremonies, or plant-based sacrament work before? 

3. What personal or spiritual intentions do you wish to explore during your time with us? 

4. How would you describe your current spiritual or faith path? 

I. WELLNESS OVERVIEW The wellness assessment form gives us the opportunity to get to know you better as a person. The information you provide allows us to guide you through your journey and helps us to make any necessary adjustments or recommendations with a maximum benefit to you. (All information is held in strict confidence under the spiritual and ecclesiastical protection of  the sanctuary.)

1. How would you describe your current physical health? 

2. Do you have any current medical conditions, past surgeries, or significant injuries? 

3. Are you currently under a doctor’s care or taking prescribed medications? 

4. Do you have any allergies or sensitivities (foods, herbs, scents, etc.)? 

5. Do you carry any emergency medication (e.g., antihistamine, EpiPen)? 

6. Have you experienced trauma, anxiety, or emotional distress that may arise during ceremony or healing work? 

7. Have you previously used mind-altering substances? 

8. Have you recently had ulcers or noticed blood in bowel movements? 

9. Are you currently using, or have you within the last year taken, medications for depression, anxiety, ADHD, bipolar disorder, or schizophrenia?

IMPORTANT HEALTH NOTES 

10.Have you had any surgery within the last 9 months? 

II. SANCTUARY SAFETY AGREEMENTS

• No marijuana, hapé, recreational drugs, or other plant medicines are permitted while working with San Pedro or while on Sanctuary grounds. Using these substances with San Pedro can cause serious complications. Violation may require you to leave the property.

• Your experiences are sacred and private. Please do not share them publicly (including social media).

• If you experience suicidal thoughts, please inform us immediately so we may support you. You are not alone.

• Please respect your guides’ and ministers’ decisions. These are based on many years of experience and your highest well-being.

11.Any additional health or emotional information your guide should know? 

III. SPIRITUAL SACRAMENT ALIGNMENT BeingLove anctuary offers ceremonies within a sacred religious context, protected by the BeingLoveSanctuary Church Charter. These practices are spiritual sacraments, not medical treatments.

Which of the following are you comfortable participating in? 

Do you understand these practices are spiritual sacraments within the ecclesiastical domain of BeingLoveanctuary?

Do you consent to hold the Sanctuary, its ministers, clergy, and facilitators harmless for any physical, emotional, or spiritual experiences that may arise, acknowledging that all participation is voluntary and self-directed? 

IV. INTENTION & DECLARATION OF FREE WILL

“I enter this Sanctuary in reverence and willingness to heal, release, and awaken. I understand that all offerings, guidance, and ceremonies at BeingLoveSanctuary are spiritual in nature, and I receive them as sacred sacraments under Divine and Natural Law. I acknowledge that participation in sacraments such as Rapé, Sananga, San Pedro, and 5-MeO-DMT (if offered) is entirely my own responsibility.

By signing this form I voluntarily and irrevocably release BeingLoveSanctuary, its clergy, assistants, ministers, and hosts from any claims—legal or otherwise—arising from my participation.”