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green kambo frog

kambo application

Health Declaration

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in order to participate in our activity.

Any current medical condition, illness, or injury?
Any current medications/drugs?
Any history of fainting, siezures, stroke, or brain injury?
Any history of abnormal heart symptoms or abnormal blood pressure?

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Emergency Contact Form

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We’ll contact this person only in case of emergency.

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NOVA ROSE

Portland,
Oregon

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Texas

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England

The content on this website is provided for educational purposes only and is in no way substitute for medical advice from a licensed naturopath or doctor.

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