Thank you so much for your interest in Kambo. In order to participate in a Kambo ceremony, you'll need to be approved as a good candidate. Once you've filled out and submitted this form, I will contact you via email within 24 hours. Once you are approved and the ceremony is scheduled, you will then be able to make a purchase on my website. 50% payment is due at the time of scheduling and 50% is due on or before the ceremony.
Tell me why you would like to work with kambo.
Heart disease medications
Lyme's Disease medications (in some cases)
Blood pressure medications
Steroids (Arthritis + Rheumatism) medications
Infection (Diclofenac) medications
Sleeping pills/ medications
Varicose Vein medications
Clove and other cleansing herbs
Heart problems (of any and all kinds; this includes having a pacemaker
Stroke or Brain hemorrhage
Aneurysms or blood clots
Are recovering from a major surgical procedure with internal stitches
Schizophrenia or severe psychosis
Chemotherapy or radiotherapy (for at least 4-6 weeks afterwards)
Organ transplants (cannot be taken with immune suppressants)
Severe immune system disorders like MS or ALS
Pregnancy or breastfeeding a child under 6 months old
Hyper- and hypotension
Certain types of EDS
Under 18 years of age
Please click below to download the Waiver and Release of Liability form. Read through it carefully, initial and sign where indicated, and upload the file below.
You will receive a response within 24 hours. Thank you!