Santa Fe, NM: Amazonian/Tibetan Primordial Breathwork w/ Ceremonial Cacao

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	$45.00 to $145.00 – Sliding Scale Contribution
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Do you have a history of mental illness? *	Have you ever been diagnosed and/or hospitalized due to mental illness? If no, please state "none".
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Please list all supplements & pharmaceutical mediations. *	List all by name, dosage and reason for taking. State "none" if you don't take medications.
Any pharmaceuticals you recently stopped taking? *	List all medications you stopped taking in the last year and what they where taken for.
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Payments do not include the cost of plant medicines. *	I understand that payments made through Retreat Guru do not include the cost of: plant medicine, psychedelics or similar products. There will be no additional charges for this retreat.Supplementary Products Exclusion: Participants acknowledge and agree that these Fees presented and payable pertain solely to Services and Offerings, and will not include the cost of any plant-medicines or similar products (collectively, "Supplementary Products") which may be provided, offered, or distributed by a Commercial User, or any other party, in connection with Services or Offerings. Retreat Guru shall bear no responsibility or liability in connection with any provision, offering, or distribution of Supplementary Products, and is not a party thereto. All capitalized terms used herein shall carry the same meaning as assigned to them in Retreat Guru's Terms of Service.

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