God’s Sitters Program Application

    Please complete this application form to begin your journey with the God’s Sitters program. All information is kept strictly confidential.

    Participant Information

    Required for precise dosing calculations based on body weight.

    We will confirm availability with you.

    Church Membership

    Experience Background

    Health Information

    Check all that apply

    Heart condition or changes in heart rateHigh blood pressureDiabetesEpilepsy or seizure disorderSchizophrenia or psychotic disorderBipolar disorderSevere anxiety or panic disorderPTSDConditions causing nausea, vomiting, or diarrheaConditions causing dizzinessNone of the above

    Intent and Purpose

    Intent is the most important part of this work. Please be as specific as possible.

    Practical Considerations

    Emergency Contact

    Your emergency contact must be aware of your participation and available to provide support if needed.

    Understanding of Risks

    Please review the following risks associated with participating in a Ceremony:

    • Psychological distress, including re-experiencing trauma or emotional upheaval

    • Physical symptoms such as nausea, vomiting, diarrhea, dizziness, or changes in heart rate

    • Physical symptoms arising from pre-existing physical or mental health conditions

    • Possibility of injury due to an altered physical or mental state

    • Nervousness and/or anxiety prior to the event

    • Integration difficulties after the event

    • Failure of a drug test

    • Negative legal, criminal justice, and/or employer action

    • Exclusion from certain types of employment, especially Federal employment requiring a security clearance and/or polygraph exam

    Certifications and Acknowledgments

    Please read and confirm each statement below. These align with the Participant Agreement you will be required to sign.

    I certify that I am at least 18 years of age and legally competent.

    I affirm that ingesting psilocybin and other sacred compounds is fundamental to the development of my relationship to the divine, and that any risks posed are worth taking to develop my relationship with truth and divinity.

    I affirm that the Church of Ambrosia is the organization through which I choose to express my religious beliefs, and has not coerced, persuaded, or forced me to participate in any Ceremony.

    I understand that I must be sober and free from alcohol and other substances for at least 48 hours before my Ceremony.

    I understand and fully accept the risks of participating in a Ceremony, including psychological distress, physical symptoms, possibility of injury, integration difficulties, failure of drug tests, and potential negative legal or employer consequences.

    I understand that the God's Sitters program uses precision-dosed, laboratory-tested psilocybin and that dosing will be calculated based on my body weight.

    I understand that this is a solo Ceremony and that I will be alone in the Ceremony room with sitters available if needed.

    I understand that the Church does not provide medical services, mental health services, or therapy of any kind.

    I understand that participating in Ceremonies represents a personal psychological exploration, and that any decisions made after a Ceremony are exclusively my own.

    I agree that I will not remove plant/fungi medicines and/or psychedelics from the location of a Ceremony.

    I agree to maintain the confidentiality of the Church's practices, Ceremony locations, and other participants.

    I understand that I am empowered to control my experience and can say no to or turn down participating in any part of a Ceremony.

    I confirm that all information provided in this application is accurate and complete to the best of my knowledge.

    Additional Information