Gender: Male

Birth Date: 1980-08-13

Email: chrisccnp@gmail.com

Phone: (972) 632-9098

City: Largo

State: Fl

How did you discovery Two Birds Church?: Reddit

Have you attended any Sunday Services, Outreach, or Virtual Services?: No

Have you done a Ceremony before?: No

Please tell us a little about your Intention for Ceremony: Fighting depression from a bad divorce

Are you currently pregnant?: No

Do you have any food allergies we should be aware of when preparing meals?: No

Are you currently taking any prescription medications, supplements, or recreational drugs.: Yes, I am on medication

Medications currently taking. (List medications, dosage, and how often you take it please, and reason for taking): Statin, heartburn (Omeprazole)

Health Conditions: None

Gender: Female

Birth Date: 1968-07-19

Email: bb.rn@outlook.com

Phone: (469) 815-2150

City: McKinney

State: Texas

How did you discovery Two Birds Church?: Reddit

Have you attended any Sunday Services, Outreach, or Virtual Services?: No

Emergency Contact Phone: (469) 400-6648

Relationship: Son

Emergency Contact Phone: (469) 712-8347

Relationship: Son

Have you ever been hospitalized for mental health reasons?: No

Have you ever had thoughts of harming yourself?: No, never

Have you ever had thoughts of harming others?: No, never

Are you currently in a mental health crisis or acute emotional distress?: No

Have you ever served in the military?: No

Have you done a Ceremony before?: No

Do you have any experience with other plant sacraments?: Bufo, once, think I responded fine. I’m at peace with it

What is bringing you to ceremony at this specific time in your life?: I would like to evolve as a person and now is the time to do it. Opportunity has presented itself and I feel like I’m ready to grow and shed old patterns

Please tell us a little about your Intention for Ceremony: I’m 58 Mom of two RN Would like better insights and understanding of past and let go of that, and experience peace, honesty and a clearer path forward I would like to let go of generational sadness so I can be better for others

Are you currently using any recreational substances?: No

Have you ever had a traumatic brain injury (TBI), concussion, or significant head injury?: No

Are you currently pregnant?: No

Please describe your experience with dependency: Alcohol-dependency stopped about ten years ago

Do you have any food allergies we should be aware of when preparing meals?: None

Are you currently taking any prescription medications, supplements, or recreational drugs.: Yes, I am on medication

Medications currently taking. (List medications, dosage, and how often you take it please, and reason for taking): Vitamins daily

Health Conditions: Na

Gender: Male

Birth Date: 1958-06-17

Email: lvandelaar@gmail.com

Phone: (914) 522-2533

City: Plano

State: Tx

How did you discovery Two Birds Church?: Through a friend, Laura Hall

Have you attended any Sunday Services, Outreach, or Virtual Services?: Not yet

Have you done a Ceremony before?: No, but I have done a ceremony elsewhere

Please tell us a little about your Intention for Ceremony: Have worked a lot with psilocybin and worked with ayahuasca a year ago Costa Rica. Feeling the need to revisit ayahuasca. My intention is to try discover what the next step in my evolution is meant to be.

Are you currently pregnant?: Not Applicable

Do you have any food allergies we should be aware of when preparing meals?: Allergic to iodine, shellfish, eg shrimp. Other fish like salmon ok

Are you currently taking any prescription medications, supplements, or recreational drugs.: Yes, I am on medication

Medications currently taking. (List medications, dosage, and how often you take it please, and reason for taking): Prilosec 20 mg daily for heartburn Breztri inhaler twice daily for asthma

Health Conditions: Generally in pretty good health

Gender: Female

Birth Date: 1993-09-17

Email: hollykouba@gmail.com

Phone: (316) 413-9600

City: Wichita

State: KS

How did you discovery Two Birds Church?: I have been before

Have you attended any Sunday Services, Outreach, or Virtual Services?: I have not

Have you done a Ceremony before?: Yes

Please tell us a little about your Intention for Ceremony: For years I have struggled to love myself and mask my feelings through alcohol. I would like to end this roller coaster of lack of love to myself and find a healthier connection with the world I live in.

Are you currently pregnant?: No

Do you have any food allergies we should be aware of when preparing meals?: No

Are you currently taking any prescription medications, supplements, or recreational drugs.: No, medications or drugs'

Health Conditions: Just psychological