Participants engaging in plant medicine circles, ceremonies, workshops and retreats make the following agreements:
Sovereignty: I acknowledge that I am making the choice to be present with the medicine. I will drink or not drink, smoke or not smoke the medicine of my own free will. Nobody is coercing me to take part. I am welcome to share ceremonial space regardless of the amount of medicine I choose to take. My boundaries keep everyone safe.
Safety: I agree to keep myself and others safe from harm. I have assessed my mental, emotional and physical fitness to engage in medicine work. I understand this can lead to profound and sometimes permanent changes in my nervous system and my life. I will not engage in abusive or sexual behavior with any member of the group and ask that the facilitators help me keep these agreements if I become unable to. I will not attempt to interrupt anyone else’s process. In the event of an emergency I empower the facilitators to contact paramedics to assist me.
Consent: I will have the opportunity before taking medicine to affirm or deny consent to take medicine, be touched, receive shamanic healing and/or to receive energy healing throughout the night. Once I have taken medicine I trust the facilitators to honor the agreements which I made sober.
Confidentiality: Each person is doing their own work. I will never share the details of someone else’s work in medicine space with anyone outside the medicine space. Furthermore, I agree not to share details of anyone’s work with that person either within or outside of the medicine space; I acknowledge that this was their work and it’s done and there is no point in bringing it back up again. I may share my own experiences with whomever I choose to trust with that honor. If I need to process something I saw another person do or say I may choose to discuss that with one of the facilitators. I will not use any device to photograph, record, or video any part of ceremony.
Presence: I will not leave the circle except for reasons of health or safety until the ceremony is complete. I will avoid small talk and chitchat while in ceremony. I agree to keep my cellphone out of the room, off or on airplane mode and will refrain from contacting anyone outside of circle until ceremony is complete.
Integrity: I agree to show up clean, well fed, as self regulated and as sober as is reasonable for me at this time.
Authenticity: I will be honest with myself and others.
About Amanita Muscaria and Amanita Pantherina: I understand that these mushrooms are widely considered highly toxic even though the North American Mycological Association has stated that there were “no reliably documented cases of death from toxins in these mushrooms in the past 100 years”.[65]
I understand I will be asked to sign a waiver:
WAIVER OF LIABILITY AND INDEMNITY AGREEMENT PLEASE READ CAREFULLY. THIS IS A LEGALLY BINDING DOCUMENT. I understand that psychedelic assisted practices may involve physical and emotional exertion that could be strenuous and may cause physical or emotional injury. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in psychedelic assisted practices. I represent and warrant that I am physically fit and I have no medical condition that would prevent my participation with psychedelics. In consideration of being permitted to participate in psychedelic ceremony, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the facilitators. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS David Samas, Wulf Trachta, Thomas Esker, John Rapp, the hosting organization (New Mission Yoga, Sacred Garden Community, Aquarian Tabernacle Church, etc.), its officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I have read this waiver of liability and indemnity agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.
Confidential Google form:
The purpose of this form is to guard your health and safety and to offer you the most freedom from trauma and pain as possible; in order to do that it helps for us to have some basic information about your medications, conditions and life experiences.
https://docs.google.com/forms/d/1qTNZ2GyjW0gEAHQkdsv0zTtI7Ow4PhUj74P2dDN5_pY/edit?vc=0&c=0&w=1&flr=0
Please contact us if you have any serious medical conditions, or use prescription GABA agonists like benzodiazepine or lorazepam. This extends to sleeping pills and ketamine. This mushroom is still perfectly safe but we would like to consult with you. This medicine is less appropriate for people with chronic alcoholism. If you take GABA agonists, anti-seizure medication, memory drugs or antipsychotics, you may wish to consult your doctor and notify the facilitators. Those who use marijuana daily may find the effects are largely neurological since their mood is already significantly altered.