Forms

Register for events online here.

Medicinal Mindfulness has committed to going paperless with all of our waivers and forms in 2018.  To save time in the registration process please fill out the appropriate forms before attending our events. 

 

Community Event Participation Forms

Conscious Cannabis Event Participation Agreement

This form is lovingly referred to as our 6' waiver because when printed, it's well over 6' of paper single spaced and dense.  Please accept our sincerest apologies.  Current societal constraints require it.  It is signed once before attending your first Conscious Cannabis Event, then only once every calendar year.

 

Community Breathwork Participation Agreement -

This is a standard transformational breathwork full disclosure statement.  It is signed once before attending your first Community Breathwork, then only once every calendar year. 

 

Welcome Letter and Safety Self-Assessment

These documents are included for your review:

 

    Training Program, Disclosure Statement & Safe Community Policy

    PSS Training Registration Agreement 2018 v1

    This document is required to apply for the Psychedelic Sitters School Training Program.  Since Community Breathwork and Conscious Cannabis Events are part of the training, these forms are also required. 

     

    Disclosure Statement - Daniel McQueen, MA

    This is the practitioner disclosure statement of Daniel McQueen. This is required for individual sessions and individual journey experiences.  Either or both the Community Breathwork and Conscious Cannabis Events agreement will be required, depending on the nature of the experience. 

     

    Safe Community Policy

    The Medicinal Mindfulness Safe Community Policy outlines Code of Conduct requirements for Medicinal Mindfulness trainees, members, guides and allies. 

     

    Membership Forms

    Medicinal Mindfulness is a skill development program.  The assessment of skill development is based on objective criteria, specifically experience participating and sitting for our program.  Our program is also a social experiment.  Our membership program allows us to keep track of participation and achievement of our members, as well as gives community members a simple way to support our work.  Visit the membership page for more information. 

    Basic Members & Community Membership Agreement 2018 v1

    This form is primarily used for members and community members to support our program with a small monthly payment, while providing access to invitations to members only events.  


    Advanced Membership Agreement 2018 v1

    This form is used for members who which to be active members and receive certain attendance and support benefits from their membership.

     

    Creative Commons License

    As a signatory of the Statement on Open Science and Open Praxis with Psilocybin, MDMA, and Similar Substances, all useful documentation we have developed and own the rights to are now available to use by anyone under a Creative Commons License or Public Domain.  Specifically, our legally researched Conscious Cannabis Event Participation Agreement (Now Public Domain), our Safety Self-Assessment, and our Safe Community Policy now fall under a Creative Commons license. My professional disclosure statement is published online to support the disclosure of facilitator experience and training.  

    More information on the Creative Commons license is at the bottom of each document or follow the link in the image below.  Please direct any questions of use to events@medicinalmindfulness.org.

     

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