Curawaka Four Tabacos Ceremony.

Registration form

Name

First Name

Last Name

Email Address

Phone

You will be added to our signal or Telegraph group. Please let us know which one you prefer.

Country

(###)

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What are the reasons why you are attending this Ceremony

Do you have medical condition that may affect you or prevent you from participating in this retreat

Please tell us if there is something we need to know about your health and if you are taking any medication.

The name of the Farm is BERKELEY FARM!! select yes if this information is clear.

Please avoid going into our neighbours property.

Are you driving to the farm ?

If Yes, Please write the registration number.

The farm is a nursery for adults with special needs. It is extremely important that we dont throw litter on the farm grounds specially cigarettes buds or wet wipes. Please mind be mindful of not bringing too much plastic to the farm. Bring a refillable bottle instead, water at the farm is really good and clean. We kindly ask for your support to help us keep the farm clean.

Messaging Group

What messaging application do you prefer if any?