Sacred ceremonies from Atman Rising Logo
  • Sacred ceremonies from Atman Rising

    Waiver, medical history, and declaration form
  • Welcome! My name is Wayne. I've spent the last several years working with ancestral medicine, countless hours healing myself and holding space for others. I believe these sacred medicines hold the promise to:

    • Help heal trauma
    • Discover a person's highest purpose 
    • Help escape the Matrix
    • Level up humanity

    If you are interested in attending one of our upcoming medicine retreats or our one-day/night medicine ceremonies simply click the "I'm ready" button below. If you're still not sure and would like more information, feel free to click this link to schedule a meeting with me to have your questions answered! 

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  • Declaration

    Read carefully!
  • ❖ I am aware that participation in a plant medicine retreat with Atman Rising involves the use of various ancestral medicinal plants, which are traditionally used in Central or South Americas for shamanic healing.

    ❖ I am not taking any prescription drugs that include MAOIs or SSRIs (generally anti-depression and anti-anxiety drugs). This is VERY important. I understand that using these kinds of medications while engaging in plant medicine can result in injury or death. 

    ❖ I have disclosed all past and current medical conditions (physical and mental) on the bottom of this form.

    ❖ I understand that taking these plants may involve emotional, psychological, and physical reactions, and I agree to take part and abide by the Terms and Conditions in this document and any other instructions given orally or in writing.

    ❖ I declare that I am choosing to participate of my own free will and have not been coerced into participating in a workshop by the Organizers or by any other person. The decision to participate is mine alone, and is based on my own personal assessment of the effects, the exclusion criteria, the potential risks and benefits, the focus of the ceremonies, and the team at the Atman Rising Retreat.

    ❖ The Atman Rising Retreat organizers have explained to me what to expect from the workshop and how it is intended to proceed. I am aware that I can ask questions about the ceremonies at any time and can change my mind about attending at any time before the ceremonies begin.

    ❖ I agree to answer all questions honestly during the screening process, and understand that I must complete all medical questionnaires and respond to all follow up questions in order to participate in a workshop. I agree to provide all relevant information regarding my medical history, mental and physical health, and any other information that may serve to protect my health during this process.

    ❖ I have made the confidential disclosures requested by the Organizer and these are honest and accurate regarding my needs and condition(s). I understand that these will be kept in the strictest confidence. I reiterate my understanding of this by signing this form.

    ❖ I accept full responsibility for participating in a workshop and in ceremonies at the Atman Rising Retreat.

    ❖ I understand and agree that I can be excluded from participation in a workshop or ceremony at the discretion of the facilitator.

  • Agreement

    Read carefully!
  • This agreement is between Atman Rising(the Organizer) and You (the Participant).


    By booking a Workshop with Atman Rising you agree to all of the following items listed:


    The Participant agrees to take part in medicinal plant ceremonies with the organizer, has been advised that Huachuma, Ayahuasca or Bufo Alvarius are  visionary earth medicines, and is clear on the meaning of this.


    The organizer will do their utmost to ensure the safety and comfort of the Participant within the remit of the retreat. The Participant, in turn, agrees to exercise caution and consideration for themselves and for others during this event, and indemnifies the organizer against claims for injury or loss.


    The Participant agrees to respect all individuals at all times. Overt negativity or disruptive negativity detracts from the experience of the others.


    The organizer reserves the right to expel any individual who is acting in an excessively negative manner or disrupting the group, staff, and/or shamans, without prior notice, responsibility for a refund, or providing accommodation outside of the Atman Rising venue.


    If a Participant’s behavior presents a threat to the safety of themselves or others, the organizer reserves the right to physically restrain the Participant and/or expel them from the retreat without prior notice, responsibility for a refund, or providing accommodation outside of the Atman Rising venue. Restraint will be conducted as gently as possible and with respect for the dignity of the Participant.


    Sexual activity between Participants and/or staff is prohibited. This includes married couples. Should a Participant develop a sexual or romantic interest in another person, any sexual contact/activity must be delayed for one week after the last ceremony. As a reminder, we are not attempting to create a moral or philosophical boundary but preventing the potentially dangerous crossing of energetic fields, which can result from sexual behavior while engaged in ceremonies. The Participant agrees to maintain sexual abstinence for one week before the first and one week after the last ceremony.


    The Participant, prior to entry into this Agreement, agrees to obtain health or medical advice as to the effect of plants singly and in combination with any medication they are taking.


    The Participant agrees that they are in a physical and mental condition appropriate to the activities described in this workshop and agrees to participate at their own risk. The responsibility for taking accurate and timely health precautions and professional medical advice is with the Participant.


    The Participant agrees to full disclosure with the organizer, in writing, regarding their health history, medical conditions, and any medications they are taking, prior to booking.


    The Participant agrees to notify the organizer of any change in their medical circumstances and understands that withholding medical information could be hazardous to their health.


    The organizer is not responsible for the personal decision of any guest to stop taking medication or change their medication schedule, and accepts no liability for any adverse effects from withdrawal from any medication.

    The Participant confirms that they have not been diagnosed with any psychotic disorder, including schizophrenia, schizophreniform, schizoaffective, delusional, or bi-polar disorder.


    The Participant understands and agrees to adhere strictly to the required diet, drug, and pharmacological restrictions required by Atman Rising for at least one week prior to the first ceremony and for at least two weeks following the last ceremony. The three most fundamental restrictions are street drugs (cocaine, ecstasy, LSD, etc.), sexual activity, and pork.


    If the Participant does not adhere to these Terms and Conditions as well as all restrictions required by Atman Rising, the organizer will not be held liable for any possible consequences, and reserves the right to expel the Participant without prior notice, responsibility for a refund, or providing accommodation outside of the Atman Rising venue.


    If the Participant is found to possess prescription drugs that have not been approved by the organizer prior to their arrival, street drugs, or alcohol, the organizer reserves the right to deny them entry to the venue and/or the retreat or expel them from the retreat without prior notice, responsibility for a refund, or providing accommodation outside of the retreat venue.


    The organizer is not liable for the injury of any Participant that may occur during or after the retreat. By participating in a retreat at the Atman Rising venue and accepting this Agreement, the Participant expresses full understanding of and responsibility for the risks that they may encounter during a retreat. The Participant absolves Atman Rising, its owners, and employees of said responsibility.

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    In the case of a medical emergency during a retreat, such as an intestinal infection, high fever, broken or damaged bones, snake or spider bite, etc., the Participant will be accompanied by an Atman Rising representative to a medical facility for treatment.


    The organizer reserves the right to expel any guest without prior notice, responsibility for a refund, or providing accommodation outside of the venue.


    The workshop balance must be paid in full prior to the start of the workshop to guarantee a reservation. It can be paid in cash on arrival at the Retreat venue if not paid by other means prior to arrival. The deposit must be made with a credit card. Other options of payment for the deposit i.e. by bank transfer can be arranged upon request.


    Once a registration is approved, retreat payments are non-refundable. The terms and policies for the conditions of refund and cancellations are fully outlined here.

    Any refund will be credited back to the original payment method.


    Should the Participant decide to cancel their reservation prior to the start of the retreat, the Participant may transfer to a similar program or transfer their payment to personal credit to be used for a future similar program in the next 12 months.


    Should a Participant decide to leave a workshop prematurely, for any reason, the organizer is not responsible for the reimbursement of monies or for denouncements by the attendee.


    The facilitators, shamans or healers in Atman Rising Retreats function as spiritual guides and teachers. We offer ceremonies for the purpose of spiritual communion. In order to operate retreats at our retreat venues in accordance with Mexican Law, we require that you also understand and agree to the following:


    An Atman Rising Retreat is organized at a venue which is not a medical facility and no health care is practiced under its direction. Its owners and employees are not health care professionals and do not practice health care of any form. We do not offer:


    Advice, diagnosis, prescription, or administer or apply any means destined as health care, even if it is offered without charge.


    Tests or information designed to support a diagnosis, prescription, or administration of any drug or therapy.


    We have made every effort to accurately represent the Retreats, Programs and workshops and their potential. Each individual’s success depends on many factors, including his or her background, dedication, desire, and motivation. By signing below, you also acknowledge that payment of your Program membership fees will not place a significant financial burden on you, your business, or your family.

  • Dietary and other information

    Read carefully!
  • Two Weeks prior to the retreat, abstain from:

     • Any plant medicines/psychedelics (including san pedro, ayahuasca, mushrooms, LSD, cannabis, etc.) 

    • All street drugs (cocaine, MDMA, amphetamines, etc.)

    • Sexual activities of any kind, including masturbation 

    • Alcohol 

    • Pork 

    • Spicy foods

    • Supplements 

    • Ice, ice cream, or ice cold drinks 


    One Week prior, abstain from: 

    • Refined sugars 

    • Red meat 

    • Junk foods 

    • Salt or pepper 

    • Sweets or chocolate 

    • Excess oils (if you must use oil, use olive or coconut oil very sparingly) 

    • Animal fats (lard, etc.) 

    • Carbonated drinks (including diet sodas, energy drinks, non-alcoholic beer) 

    • Dairy products 

    • Fermented foods

    • Broad beans (like fava beans) 

    • Caffeine & other stimulants

    • Supplements 


    Additional restrictions


    • IMPORTANT: Ayahuasca is not compatible with pregnancy. • If you will be menstruating during the retreat, please inform your facilitators when you arrive. • Avoidance of synthetic soaps, perfumes, toiletries, etc

  • Should be Empty: