AMS Masterclass Preparation Form - Academy of Modern Shamanism

AMS Masterclass Preparation

Please read and respond ASAP (even if you emailed me about diets before, so that I can easily forward the info to the cooks and they can start planning and shopping.)

Name(Required)

First Last

Email(Required)

1. a) Do you have any special dietary needs?(Required)

1. b) please state whether this is a preference or allergy/intolerance: wheat, gluten, nuts etc(Required)

2. Do you have any other allergies? If yes please give details and your needs.(Required)

3. How are you travelling to the retreat?(Required)

4. If you are travelling by air:

Your incoming flight details:

Flight number:

Time of arrival:

Where are you flying from:

Your flight home:

Flight number:

Time of departure:

Destination:

5. Please give details of your health history and medical conditions(Required)

Please give full details.

6. Are you on any medication? If so, it is essential that you let us know what kind and how to support you if you have an episode.(Required)

Please give full details.

7. Has any information changed since you completed your Joining form for the course? eg your health, family or work situation? Please give details here if there is anything else we need to be aware of to support you during your retreat. We would much rather hear about any situation that might be relevant to your safety and well-being.(Required)

Please don't hold back out of 'not wanting to make a fuss'

8. Would you like the fish option if it is available on 1 night?(Required)

9. Do you snore? Are you a light sleeper?(Required)

10. a) Please give the name and contact details of someone we can contact in case of an emergency(Required)

10. b) what is their relationship with you?(Required)

10. c) Are they aware of the nature of the retreat?(Required)

11. What are you hoping to experience on this retreat?(Required)