Participant List

Gender: Female

Birth Date: 1982-11-02

Email: emilyschulz36@gmail.com

Phone: (832) 421-2232

City: Houston

State: TX

How did you discovery Two Birds Church?: Google Search

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

Emergency Contact Phone: (512) 534-8135

Relationship: Brother

Emergency Contact Phone: (780) 700-6555

Relationship: Father

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?: Yes

Please describe your previous ceremony experience: Many layers of grief sadness and healing

Do you have any experience with other plant sacraments?: Mushrooms

What is bringing you to ceremony at this specific time in your life?: Looking for addl healing around trauma

Please tell us a little about your Intention for Ceremony: I want to explore my subconscious, visions, and healing powers. I want to connect with others on a similar Journey and enjoy some beautiful music.

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: Sober since 2017

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): Fish oil daily Multivitamin daily Vitamin D daily Tumeric daily Iron every other day

Health Conditions: Osteopenia

Gender: Female

Birth Date: 1975-04-20

Email: zuniga91011@yahoo.com

Phone: (512) 745-1226

City: Austin

State: tx

How did you discovery Two Birds Church?: Previous Member

Have you attended any Sunday Services, Outreach, or Virtual Services?: Yes

Emergency Contact Phone: (512) 749-4894

Relationship: Spouse

Emergency Contact Phone: (940) 886-8668

Relationship: Mother

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?: Psilocybin, marijuana

What is bringing you to ceremony at this specific time in your life?: I am being called to return.

Please tell us a little about your Intention for Ceremony: I am a spiritual person, I have had past experiences with psychedelics but was not aware of how to use them. So I did not get the best aspects of them. I was young and not guided. I would like a guided more spiritual experience with what's beyond this current life.

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

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: None

Gender: Male

Birth Date: 1991-03-05

Email: Adalbaca91@gmail.com

Phone: (972) 207-1895

City: Dallas

State: TX

How did you discovery Two Birds Church?: Shawn

Have you attended any Sunday Services, Outreach, or Virtual Services?: Yes

Emergency Contact Phone: (214) 557-6914

Relationship: Mom

Emergency Contact Phone: (214) 398-2396

Relationship: Dad

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?: Yes

Please describe your previous ceremony experience: I’ve participated in the past about nine times. Great experience. Very eye-opening.

Do you have any experience with other plant sacraments?: No

What is bringing you to ceremony at this specific time in your life?: A strong desire to reconnect

Please tell us a little about your Intention for Ceremony: I want to work through some self limiting beliefs. Connect to higher spirit. And shed some ego.

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

Do you have any food allergies we should be aware of when preparing meals?: Vegetarian

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

Health Conditions: Im perfectly healthy

Gender: Male

Birth Date: 1987-01-17

Email: jimxshaw@gmail.com

Phone: (501) 416-3033

City: McKinney

State: TX

How did you discovery Two Birds Church?: Google

Have you attended any Sunday Services, Outreach, or Virtual Services?: Yes

Emergency Contact Phone: (214) 663-8438

Relationship: sibling

Emergency Contact Phone: (631) 507-8420

Relationship: friend

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?: Yes

Please describe your previous ceremony experience: All with Two Birds, starting in February of 2022. Changed my life.

Do you have any experience with other plant sacraments?: Yes, ayahuasca.

What is bringing you to ceremony at this specific time in your life?: Moving forward from a family member's passing.

Please tell us a little about your Intention for Ceremony: Trying to be a better man for myself, friends, family and my community.

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?: Not Applicable

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): Metformin 2000mg per day for Type 2 diabetes

Health Conditions: Type 2 diabetes

Gender: Female

Birth Date: 1981-10-13

Email: christina@soulwareretreats.com

Phone: (512) 294-9343

City: Austin

State: Tx

How did you discovery Two Birds Church?: Dr mark bans

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

Emergency Contact Phone: (183) 296-9989

Relationship: BFF

Emergency Contact Phone: (832) 296-9989

Relationship: Friend

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?: Two birds in June of ‘24

What is bringing you to ceremony at this specific time in your life?: I’ve been called back

Please tell us a little about your Intention for Ceremony: I feel like I’m being called to the medicine because of the spiritual growth and contrast that’s happening now. I feel like I’ve been following my heart for a while now, and I can see that there is still contraction in certain areas of my life as I am feeling this contrast I’m noticing that it’s the same patterns of issues and problems and things that I’m wanting to face. I was talking to my spiritual Guide and Dr. and he recommended I come see you at Two Birds Church for ceremony. I’ve been working with him on emotional blockages for a while and have been led to the exact moment. I’m really looking for help.

Are you currently using any recreational substances?: Yes

Please describe your current substance use: 5 drinks every two weeks, micro dose 3 days a quarter , eat edibles and smoke weed 2 times a week

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

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'

Medications currently taking. (List medications, dosage, and how often you take it please, and reason for taking): Tricepitides / Monjaro 1 shot a week and been on it for two months

Health Conditions: No health issues

Gender: Male

Birth Date: 1986-10-01

Email: juststovall@gmail.com

Phone: (214) 437-7491

City: Sachse

State: Texas

How did you discovery Two Birds Church?: Old co worker

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

Emergency Contact Phone: (945) 217-0710

Relationship: Gf

Emergency Contact Phone: (469) 525-5217

Relationship: Mother

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?: Yes

Please describe your military service: 06-09 navy

Have you done a Ceremony before?: Yes

Please describe your previous ceremony experience: Been to two birds twice for a retreat and once with sapo enjoyed the mind opening and perspective change

Do you have any experience with other plant sacraments?: Mushrooms once a month maybe

What is bringing you to ceremony at this specific time in your life?: Looking to build upon the work I have been doing with aya

Please tell us a little about your Intention for Ceremony: I have looked into doing a ceremony for a few years now. I feel like I have blocked out a lot from my childhood and looking to open that box to see why i felt the need to tuck it away. I feel I am at a point where it is time to forgive and move on. I am on par with your belief where it our responsibility to heal from what others might have caused and I believe I am ready to see what is there for me to unpack. I’m not very religious but I have a desire to be more spiritual and being more in tune my body and being alive.

Are you currently using any recreational substances?: Yes

Please describe your current substance use: Cannabis daily will sustain before ceremony

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: 7 years sober alcohol is not the vibe for me

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): Just cannabis

Health Conditions: No health conditions

Gender: Male

Birth Date: 1982-12-14

Email: mattwoodruffster@gmail.com

Phone: (682) 261-5524

City: Fort worth

State: Texas

How did you discovery Two Birds Church?: Friend’s recommendation

Have you attended any Sunday Services, Outreach, or Virtual Services?: Attended my first virtual service 8.23. Not as active as I’d like to be. Currently in a growth phase and plan to br active

Emergency Contact Phone: (682) 261-5525

Relationship: Wife

Emergency Contact Phone: (682) 261-5525

Relationship: Mother

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?: Yes

Please describe your previous ceremony experience: I’ve sat with Two Birds on multiple occasions. My last sit with Madre was two years ago with Two Birds. Incredible experience. Jay and Amma are saints! Loved everything about the experience

Do you have any experience with other plant sacraments?: Sit with mushrooms ceremoniously once a quarter and micro dose psilocybin every other day. God doses I have had taken have been some of the most profound experiences of my life

What is bringing you to ceremony at this specific time in your life?: I am going through a growth stage and seeking more wholeness and connection. Need to exercise my love and compassion muscles

Please tell us a little about your Intention for Ceremony: I am returning to ceremony to reconnect with my place in the universe. My family has grown since last ceremony and my spiritual practice has fallen to the side in the past 4 years. I need to refocus and open the lines of communication between the universal spirit to be a better father, partner, compassionate member of society, and human. I look to further my understanding of the nature of reality, connect with the higher power, and be open to what the universe wants to show me.

Are you currently using any recreational substances?: Yes

Please describe your current substance use: Nicotine. Daily. Prepared to abstain

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: The mental pull was a lot but overcome through substitution and support of my wife

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): Bergamot polyphenols for cholesterol and blood pressure, milk thistle for liver health, vitamin D for d deficiency, daily multivitamin and ceterizine (Zyrtec) for general upkeep. All of these are daily May be going back on Artovistatin 40mg daily for cholesterol

Health Conditions: High blood pressure and cholesterol that is being maintained by diet, exercise, and daily bergamot

Gender: Male

Birth Date: 1986-09-22

Email: drivewithbishop@gmail.com

Phone: (817) 262-9105

City: Frisco

State: Texas

How did you discovery Two Birds Church?: Google

Have you attended any Sunday Services, Outreach, or Virtual Services?: Yes!

Emergency Contact Phone: (214) 566-4631

Relationship: Friend

Emergency Contact Phone: (206) 280-7507

Relationship: Ex-Spouse

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?: Yes

Please describe your military service: Navy non-prior service 2006-2008

Have you done a Ceremony before?: Yes

Please describe your previous ceremony experience: Soul Quest-Orlando Two Birds 7 ceremonies in total Two Birds is my new home after Soul Quest closed down

Do you have any experience with other plant sacraments?: None

What is bringing you to ceremony at this specific time in your life?: My intentions for this ceremony weekend are about structure and consistency. Being able to let go of those things I second guess myself on and allowing myself to continue my growth with Mother Aya.

Please tell us a little about your Intention for Ceremony: I have sat with Mother Aya in the past and have gone through almost six years of transformation. The journey continues and I am happy there is a tribe of people like minded and knowledgeable about the process of healing, helping, learning and growing close by. My intention is to continue my spiritual growth, learning and integrating my ceremonies’ lessons into every day life.

Are you currently using any recreational substances?: Yes

Please describe your current substance use: Alcohol-dwindling usage. Mostly out of boredom or release of inhibition that would normally benefit me. Cannabis- 1-3 times per week on a bi-annual basis. I plan on a complete fast for a week prior to ceremony.

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

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): Multi vitamin, pre workout powder, infrequent melatonin

Health Conditions: None