Participant Form & Liability Waiver

Email *

Please use the EXACT SAME email address you used to purchase your event.

Date of Birth *

Occupation *

Relationship Status *

Emergency Contact Info:

Emergency Contact First & Last Name *

Emergency Contact Relationship to Participant *

Emergency Contact Phone *

Current Relationships:

What is your current relationship to your physical health? *

I have no routine to my physical health

I am inconsistent with taking care of myself

I am building a good base for my physical health

My physical health is a cornerstone of my life and I am fully committed to it

What is your current relationship to your emotional and mental health? *

Feeling helpless in the day to day

Ups and down in the day to day

Finding balance and consistency despite challenging moments

Feeling very aligned and taking ownership of my feelings

What is your relationship to purpose? *

Without any

Hopeful and seeking

Driven and finding

Fully aligned in purpose

What is your current relationship with financial abundance? *

Medical Information:

Are you currently taking any prescription medication(s)? If so, please list.

Are there any medical or psychological aspects of yourself that might impact yours or another’s well being during this experience?

Do you agree to take full responsibility of yourself and choices during this event?

Yes, I agree.

Have you attended a Sacred Sons gathering/event before? *

Do you have any dietary restrictions?

How did you hear about Sacred Sons? *

What are you hoping to experience? *

Terms & Conditions:

I agree to terms & conditions

Sign Here: *

Electronic Signature *

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper.