Join our GIRA(S) Name * First Name Last Name Email * Date of Birth * MM DD YYYY Phone (###) ### #### Which Gira do you want to participate? * December 8th | 12pm - 8pm December 10th | 12pm - 8pm How did you hear about the giras? * Do you currently have any physical illnesses? If so, please specify. * Do you currently take any medication? If so, which kind and since when? * Is there any type of dependence (alcohol, drugs, chemical, natural substances, cannabis)? Which? How long? * Are you currently or have been in the past in psychiatric and or psychological care? * Do you have any previous experience working with the medicine of ayahuasca? If so please specify. * If you have worked with ayahuasca previously, please share with us the lineages and influences you've mainly worked with. Have you participated in an UMBANDAIME gira before? no Yes, 1 -3 times yes, several times How would you like to pay your contribution for the gira? wire transfer paypal stripe (credit card) cash (quetzals, euro or usd accepted) We are excited for you to join us in the Gira. Please let us know if there is any other message, i.e. your intention or concerns with this work, that you wish to share with us. We are happy to welcome you to the Umbandaime Family and the Giras of December 2024 at our Temple of Umbilical Arts.We will send out more information regarding preparation for the works and how to make your contribution very soon.Axé!
