By submitting this application and signing below, I accept the conditions of participating in all sessions and I declare that I am choosing to participate of my own free will.
I declare that I will not hold the facilitators, hosts, or organizers — including Georgina Capdevila, Natural Symphony, the Noke Koî community, or any associated guides — responsible for any problem that might arise during or after the experience as a result of partaking in the medicine ceremonies and/or any other activities.
I agree to discontinue use of any pharmaceutical medicines or recreational drugs for a minimum of two weeks before the experience and to follow the full preparation protocol shared upon acceptance.
I understand the immersion includes Uni (Ayahuasca), Kambô, Rapé, and Sananga — sacred plant medicines of the Noke Koî people. I enter into relationship with these medicines with reverence, awareness, and personal responsibility.
I understand that this immersion is a protected ceremonial container and not a space for romantic or sexual exploration. Sexual energy is honored within this space as sacred creative life-force energy, and participants are expected to relate to themselves, others, and the land with mindfulness, integrity, reverence, and emotional responsibility. We gather in service to healing, artistic expression, personal transformation, and the restoration of harmony within ourselves, our relationships, and the Earth. To preserve the energetic clarity, emotional safety, and integrity of the experience for all involved, I agree not to pursue, initiate, encourage, or engage in romantic or sexual interactions, projections, or exchanges with participants, facilitators or locals before, during, or after ceremonies.
I understand that the facilitators and organizers reserve the right to deny or discontinue my participation if deemed necessary for my safety or the safety and integrity of the group. Should participation be denied before the experience begins, any potential refund decisions remain at the discretion of the organizers and will take into consideration logistical, operational, and production costs already incurred. Travel and personal expenses remain my own responsibility.
I further declare that I have answered all questions on this form fully and honestly and have not withheld any information I believe could be important to my safety or the safety of others.
I understand that I am personally responsible for any medical expenses, emergency transportation, or additional costs that may arise during or in connection with my participation in this experience.