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Luna Wolf Sanctuary Member Application

501(c)(3) Lunawolf.org
First Name*
Last Name*
Preferred Pronouns
Birth Date*

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Date
Email*
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Phone Number*
Emergency Contact + Phone #*
Your current location:*
Acknowledge below, the following agreements with Luna Wolf Sanctuary (LWS).
Releasing Expectations - I agree to the following: Luna Wolf Sanctuary facilitators and volunteers will prioritize my healing and growth, but there is no guarantee of any specific outcome and having expectations can actually counteract the potential benefits; Traditional medicine works on many physical and non-physical layers of a person depending on their unique needs, making it very hard to predict and is at times an uncomfortable experience;*

I agree
Legality - Luna Wolf Sanctuary practices with ceremonial sacraments under the protection of the Religious Freedom Restoration Act of 1993. I agree to participate with sincerity and respect for LWS beliefs to ensure these protections.*

I agree
Reception - I agree to complete the questionnaires accurately, engage with the community, and attend meetings as necessary.*

I agree
Preparation - I agree to fully read the preparation guides and put into action the suggestions to the best of my ability*

I agree
Ceremony - I agree to show up with respect to the provided instructions, to hold reverence for the sacraments, to follow the outlined schedule, remain on the property for the duration, and hold sacred the safety of everyone involved*

I agree
Integration - I agree to make a considerable effort to continue a lifestyle dedicated to healthy and sustainable habits after the ceremonies*

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: Many of you may be seeking these ceremonies to aid in the health issues these questions are referring to, and we want you to know that we don't turn people away for having them. 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.*
Do you have support from your family, friends, and professional resources to pursue plant medicine ceremony? *
Do you have any history of severe instability (mental, physical, emotional, financial...) or attempted suicide within the last 5 years? If so, please provide details, describe your current relationship with that and any concerns you may have about the effect these ceremonies may have on it.*
Please explain what your pharmaceutical prescription or substance use has been like in the last 2 years.*
Please read and agree to the

LWS Liability Waiver.
By signing below, 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.
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Luna Wolf Sanctuary Member Application

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