LWS New Member Intake Form

Luna Wolf Sanctuary New Member Intake Form

Let us know a few things about you before scheduling your Welcome Call.
First Name*
Last Name*
Email*
example@example.com
Your Age*
Current Occupation *
Where You Currently Reside*
Gender/Pronoun
(Optional)
Acknowledge below, the following agreements with Luna Wolf Sanctuary (LWS).
I have read through the Lunawolf.org website and viewed some of the media content to get an initial impression of the community.*

I agree
I understand LWS practices are not medical or therapeutic in function and are LWS staff do not intend to treat or diagnose disease.*

I agree
I understand that LWS is a religious organization (church) and that members of LWS are first and foremost participating for spiritual/religious purposes.*

I agree
I understand that all LWS practices are for the purpose of serving its mission to provide safe containers for supporting the transformation process of discovering and manifesting our deepest truths. Our ceremonial sacraments, Grandmother Ayahuasca, Jaguar Bufo, and Guardian Kambo serve as our essential guides in this process.*

I agree
Please describe in what ways you feel connected to the beliefs of Luna Wolf Sanctuary.*
Please explain how you heard about us and what has led to your interest in our ceremonial sacraments.*
Basic Health Questions: We do not turn people away for having health issues, but we need to ask for your safety and benefit. Careless circumstances can lead to the worsening of health issues, so please answer honestly.

(Your answers on this form do not necessarily disqualify you from participation, this is always evaluated on a case-by-case basis.)
Please describe mystical, expanded, or psychedelic states of consciousness you have had in the past.*
Please describe what kind of post-ceremony support you have (family, friends, therapists, coaches, etc...) Would you like professional support from our facilitators and community? *
Please describe your history with various forms of instability (mental, physical, emotional, financial...) Please also let us know if you have attempted suicide within the last 5 years? Describe your current relationship with these circumstances and any concerns you may have about the effect these ceremonies may have on it. [Remember, these answers are not necessarily disqualifying, we take each application on a case-by-case basis.]*
Please explain what your prescription pharmaceutical or personal substance use has been like in the last 5 years.*
I certify that I have read and understood the above and that the information given on this form is accurate. I will not hold any part of Luna Wolf Sanctuary or the people involved responsible for any errors or omissions that I may have made in the submission of this form.*

I agree
Once you hit "Submit," you will see a link to book your Welcome Call, this is required for membership.
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Luna Wolf Sanctuary New Member Intake Form

Once you hit "Submit," you will see a link to book your Welcome Call, this is required for membership.