Source Initiation – H, D, LW

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Retreat Guru is the online booking agent for Blue Morpho Tours.

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1 SOURCE INITIATION | AUG 25 - SEPT 13, 2025

2 ACCOMODATION PREFERENCE

3 Optional Items

4 Participant Info

IMPORTANT NOTE	If you have any health conditions or take any medications please email us at admin@bluemorphotours.com to discuss your suitability for participating in our ceremonies before you make a booking and submit payment. Medications can not be taken during the retreat time and most have to be stopped with doctor's permission one month before the retreat. Some health conditions make it very unsafe to participate in our ceremonies.
Confirm	Please check the box to indicate that you have read and understood the above information.
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5 Emergency Contact Information

6 Medical History Information

7 Medications, Vitamins and Supplements

Please list any other medications you have taken in the past. Include when you took them and how long you were on them. *	Enter "none" if you haven't taken any medications in the past.
Please list any vitamins or supplements you are currently taking. *	Enter "none" if you aren't currently taking any vitamins or supplements.
Allergies to medications *
Do you have any severe or potentially life-threatening allergies that would require the use of an epi pen? *	Yes No If you answered "yes" to this question, please be sure to bring an epi pen with you, as they are very difficult to obtain in Iquitos, Peru.
Please describe your allergies.	If you answered "yes" to the above question, please describe in detail your allergies. If this does not apply to you, write "none".
Please list any recreational drugs you currently use. *	Enter "none" if you do not currently use any recreational drugs.
Please list any recreational drugs you have used in the past. *	Enter "none" if you have not used any recreational drugs in the past.
Are you currently pregnant? *	Yes No
Pregnancy Disclaimer	By clicking here, I agree with the following:I understand that Blue Morpho ceremonies are purgative and dangerous while pregnant. If I become pregnant before the beginning of the retreat, I understand that I am responsible for notifying Blue Morpho and that I will not be able to participate during pregnancy. I also understand that I will only be entitled to a refund if the conditions of the Cancellation Policy are met.
Family Medical History Details *	Please provide details if you check any condition. Enter "none" if none of the above have been checked.
Blue Morpho Health Screening & Full Disclosure *	Check this box if you agree to the Blue Morpho Health Screening and Full Disclosure.We carefully screen each guest for their safety prior to attending a tour. All herbal supplements, natural medicines, and medications (prescription and over-the-counter) must be disclosed and subsequently approved for use by Blue Morpho. All herbal supplements, natural medicines, and medications (prescription and over-the-counter) cannot be taken during the course of the tour without the express permission of Hamilton Souther. You hereby agree that all information you provide in the application is correct and current and that you have disclosed all physical and psychological conditions as well as all herbal supplements, natural medicines and medications (prescription and over-the-counter) that you are taking. In some cases, you will be contacted personally by one of our staff to ensure that you are prepared for the experience. Blue Morpho is not a medical facility and its owners, staff, employees and agents are not licensed medical doctors, psychologists, or psychiatrists. We do not practice medicine, diagnose, cure, or treat disease or illnesses. Instead, we function as spiritual guides and teachers and offer ceremony for the purpose of spiritual communion. Dietary & Behavioral Restrictions: There are certain dietary and behavioral restrictions that must be followed. You will be advised of these restrictions when you arrive at the start of the tour. Some of our tours may have a different set of restrictions than contained in the following paragraphs. Each specific set of restrictions should be followed according to the corresponding tour. The amount of sweets that can be consumed on tour is limited. Consumption of alcohol and street drugs are not allowed at any time during the tour. Consumption of pork or pork products is not allowed during the entire tour and for 30 days after your last ceremony. You must also abstain from alcohol consumption and the use of street drugs for 7 days after. There is to be no sexual activity whatsoever between guests and/or staff during a tour. This includes married couples. This also includes masturbation. The environment demands abstinence from all sexual activity. Should you develop a sexual or romantic interest in another person, we request that you delay any physical displays or expressions of it until the tour is over. We are not attempting to create a moral or philosophical boundary but preventing the potentially dangerous crossing of energetic fields that can result from sexual or romantic behavior while engaged in ceremonies. Again, it is not important for the guest to understand this completely, but it is mandatory that the guest observe the rules.

8 Previous Sacred Plant Experience

9 Travel Insurance

10 Referral (first time guests only)

11 Terms and Conditions

12 - Meals and Accommodations

13 - What would you like to focus on?

14 Disclaimer

15 Security Check

16 Begin Your Journey

	Retreat Guru is the online booking agent for Blue Morpho Tours. Charges will appear on your bill as "Retreat Guru"

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