Earth Temple Center of Prayer &School of Shamanic Arts Application Drop into your body, take a deep breath, and fill out this form with intention. We look forward to receiving your application! Name * First Name Last Name Email * Why do you feel called to sit in ceremony at this time? Do you believe that all beings should be safe & free? Have you done any work on deconstructing the abuser, dominator within yourself? If so, please explain? (Patriarchy, sexism, racism, classism, ableism xenophobia, islamaphobia, anti-semitism, transphobia, et.al. are not permitted in our spaces. Do you have a. history of mental health concerns? Please describe. Are you on any prescription medications? Please list name, dose & for how long you have been taking them. DO you have a history working with etheogens/psychedelics? Please explain. Anything else you'd like us to know? Date MM DD YYYY Write Full Name here with your DOB as your signature that everything you have shared is accurate & best to your knowledge to date. * Thank you!
