AMS Joining Form AMS Training Joining Form - Strictly confidentialThis information is to assist us to support you on your training. It will only be read by myself, and the team where necessary. It is essential that you answer these questions truthfully, for your own safety. Please do not write your life story, just the headlines (we can discuss anything important in more depth). Thank you. SECTION 1: Practical Details & ConsentName(Required) First Last Phone Number(Required)(including country codes):Whatsapp/Telegram Number(Required)(including country codes):Date of Birth(Required) MM slash DD slash YYYY Age Now(Required)Email Address(Required) Occupation(Required)1. Do you consent to your email and/or WhatsApp number being shared with the group for the purpose of organising healing exchanges?(Required) Yes No 2. Please provide the name, relationship, and contact details of someone we can reach in the unlikely event of an emergency:(Required)3. How did you hear about this training? What influenced your decision to join?(Required)4. Do you consent to being added to our mailing list for Fire Horse / Academy of Modern Shamanism updates?(Required) Yes No SECTION 2: Health, Safety & Readiness5. Are you currently taking any medication?(Required) Yes No If yes, please share anything relevant to your participation:(Required)6. Physical Health & Medical Information. Do you have any medical conditions, injuries, or physical health concerns we should be aware of to support your safety? Examples: asthma, epilepsy, diabetes, heart conditions, high/low blood pressure, chronic pain, mobility issues, allergies, etc.(Required)7. Neurodiversity & Learning Support. Do you identify as neurodivergent (e.g. ADHD, autism, dyslexia) or have any sensory or learning needs? If yes, how can we best support you?(Required)8. Emotional & Psychological Wellbeing. This training can involve deep emotional and transformational work. Do you have any current or past mental or emotional health challenges that may affect your participation? Please share anything relevant, including: your current level of stability, and any support you have in place (therapy, medication, support network)(Required)9. Do you have any other mental, physical, emotional, spiritual, health or lifestyle conditions or habits that might compromise your ability to participate fully in the training, or that need special support? Please give details:(Required)10. Additional Safety Information. Have you ever experienced any of the following: Periods of extreme psychological distress or instability; loss of contact with reality; hospitalisation for mental health support?(Required) Yes No If yes, please share relevant details and your current level of support:(Required)11. Responsibility & Support Agreement: I understand that this training involves deep emotional and personal work. I take responsibility for my wellbeing and will seek additional support if needed.(Required) Yes No SECTION 3: Personal Awareness & Capacity12. What patterns, challenges or themes are you currently working with? (e.g. anxiety, grief, relationship patterns, confidence, etc.)(Required)13. What significant life experiences or challenges have shaped you? (Share only what feels relevant)(Required)14. What are your resources? What brings you support, stability and joy?(Required)15. How do you tend to respond to stress or emotional intensity? And how do you support yourself through it?(Required)SECTION 4: Community & Group ParticipationOur trainings take place within close-knit learning communities. The following questions are intended to help us create a safe, supportive and enriching environment for everyone involved. 16. Previous group experience: Have you ever found yourself in a significant conflict within a training, retreat, community or group? If so, what happened, and what did you learn from the experience?(Required)17. Boundaries and responsibility: This training requires participants to respect boundaries, guidelines, ethics, confidentiality, the programme terms and conditions, and the wellbeing of others in the group. Is there anything that might make this challenging for you?(Required)18. Group participation and self-awareness: How do you tend to show up in groups and community settings? What qualities do you bring to a group, and what aspects of group participation do you find more challenging? Please answer as honestly as you can – there are no right or wrong answers(Required)SECTION 5: Experience19. Are you confident in reading, writing, typing assignments and uploading them to the training portal?(Required)20. Have you attended any holistic or personal development training before?(Required)21. Do you have experience working with healing, therapy, or similar fields? Please describe.(Required)22. Do you have experience working with plant teachers or psychedelic therapy? If yes, please say roughly how many times eg 'Grandmother'-3 times, 'Grandfather'-5 times, 'Little teachers'-10 times, .(Required)SECTION 6: Spiritual Orientation23. Do you have a spiritual, religious or meditation practice?(Required)24. Please describe your relationship with Spirit, Source, the Divine, or your personal belief system.(Required)SECTION 7: Vision & Intentions25. What do you hope to receive and achieve through this training?(Required)26. What is your deepest value? Is your life in alignment with this?(Required)SECTION 7: Final27. Are you interested in attending our masterclass ceremonial retreats?28. Is there anything else you wish to share or ask at this point?I have answered these questions truthfully, and have not withheld any vital information relating to health and safety. Today's Date(Required) DD slash MM slash YYYY Signature(Required)
