Tribal Detox Kambo waiver

Contraindication and substance guideline understanding and agreement

Things that should be avoided before Kambo. Please read carefully. Mixing Kambo with any of the following could be extremely dangerous.

Immune suppressants for auto immune disorders.

Slimming or sleeping supplements (including melatonin)

Alcohol or drugs 24 hours before and after

Do not fast longer than 18 hours 7 days before or after Kambo. This includes juice fast. Clients should have a normal eating pattern leading up to Kambo

Sweat lodges, Colonics, enemas, liver flushes or any water based detox should be avoided within 3 days either side of taking Kambo

By checking the "I Agree" box you are agreeing that you have read the above regarding what should be avoided before Kambo and that you understand the dangers involved should you choose to neglect the above.

Kambo does not generally have unintended adverse effects when administered by a properly trained practitioner and when clients have disclosed any underlying health conditions. You should absolutely not participate in a Kambo treatment if any of the following apply.

Have serious heart problems.

Are on a no-salt diet (ayahuasca diet)

Have Elhers Danlos

Have Marfan syndrome

Are on medication for low blood pressure.

Have had a stroke.

Have had a brain hemorrhage.

Have an aneurism or blood clots.

Lack the mental capacity to make the decision to take Kambo.

Have serious mental health problems excluding depression, PTSD and anxiety.

Are undergoing chemotherapy, radiotherapy or immunotherapy for 6 weeks afterwards.

Take immune-suppressants for organ transplant.

Have Addison’s Disease

Have current and severe Epilepsy

Are recovering from a major surgical procedure

Are under 18 years old

Have undergone a Bufo ceremony in the past 6 weeks

Are pregnant or maybe so or are breast-feeding

Taking a daily diuretic. If you are on a medication that is also a diuretic but is not required to be taken daily, check with your practitioner to see if Kambo is safe for you.

Person has consumed other strong medicines (eg. San Pedro, Ayahauaca, Mushrooms) within 24 hours of wanting to receive Kambo

Person has reached their 70th birthday

The person has consumed large amounts of water prior to arriving for Kambo

Person has been fasting longer than 18 hours.

Person has received the Covid Vaccine in the last 4 weeks

By checking the "I Agree" box you are agreeing that you have read the above regarding contraindications of Kambo and that you understand the dangers involved should you choose to neglect the above.

Please review the below list of substances that should be abstained from before and after taking Kambo. By checking the "I Agree" box to each substance you are confirming that you understand the time period to abstain from that particular substance both pre and post Kambo and that you understand the dangers involved should you choose to neglect the information provided to you regarding the substance guideline.

SUBSTANCE MINIMUM ABSTINENCE PERIOD PRIOR TO KAMBO / POST KAMBO

Amphetamines Including Adderall and Ritalin 7 DAYS / 7 DAYS

Anti-Depressants and Anxiety Medication including Duloxetine/Cymbalta Do not take morning of / 2 hours

Anti-Convulsants - must discuss with facilitator if on an anti-convulsant medication

Ayahuasca & Analogues e.g. contingent that client is not on a no-salt diet. 24 hours / 24 hours

Benzodiazepines e.g. Valium, Diazepam 18 hours / 8 hours

Beta Blockers Do not take morning of treatment / 8 Hours

Blood Thinners Do not take morning of treatment / 8 Hours

Ecstasy (MDMA) Molly or any other MD** 7 Days / 7 Days

Heroin Substitutes – Methadone, Buprenorphine, Naltrexone CONTRAINDICATED

High Blood Pressure Medication Do not take morning of treatment / 8 Hours

Peyote San Pedro (Mescaline) 24 hours / 24 hours

Vasoconstrictors (Triptans) 3 Days / 12 Hours

Covid Vaccine or booster 30 days / 7 days

“Kambo Session” Release of Liability and Assumption of Risk Agreement

Kambo is the sweat from the Bicolor Phyllomedusa frog. Traditionally, Kambo is and has been used by Indigenous peoples of the upper Amazon to lift Panema (dark or negative energy) and for Hunting Magic. Your organizer and practitioner are not licensed in the medical field and do not diagnose or prescribe any medications for any conditions, nor do they diagnose, treat or cure any medical conditions. Kambo treatment should not be used as a substitute for medical care and advice from your physician. Please contact a qualified, licensed physician for any illness or disease.

In consideration for being allowed to participate in the Kambo treatment I agree to the following:

1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to follow any oral instructions or directions given by the Tribal Detox representative practitioners

2. ASSUMPTION OF THE RISKS AND RELEASE. IN THE EVENT THAT YOU ARE EXPERIENCING ACUTE ADVERSE EFFECTS RELATED TO YOUR USE OF KAMBO, CALL 911. I recognize that there are certain inherent risks associated with the above-described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Tribal Detox for injury, loss or damage arising out of my or my family’s use of or participation in any services provided by Tribal Detox, whether caused by the fault of myself, my family, or Tribal Detox. Furthermore, I understand that the known possible side-effects to participating in a Kambo session may include, but are not limited to, the following:

a. Increased heart rate

b. Flushing of the skin

c. Slight pressure in the head

d. Numbness, tingling in various parts of the body

e. flu like symptoms to include nausea, chills, abdominal cramping

f. Tetany

3. FEES. I agree to pay for all damages to any facility in which I partake of Tribal Detox services, caused by any negligent, reckless, or willful actions by me or any minor in my charge.

4. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under Colorado law.

5. NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Tribal Detox LLC has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement.

6. ARM’S LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm’s length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either “for” or “against” a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.

7. ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.

8. DISPUTE RESOLUTION. The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure.

Any controversies or disputes arising out of or relating to this Agreement will be resolved by binding arbitration under the rules of the American Arbitration Association. The arbitrator’s award will be final, and any judgment may be entered upon it by any court having proper jurisdiction.

9. INDEMNIFICATION. I, for myself and on behalf of my heirs, assignees, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY (reimburse for any loss including any reasonable legal fees that may incur, AND HOLD HARMLESS THE ORGANIZER AND KAMBO PRACTITIONER, their officers, officials, agents and/or employees, other participants, and, if applicable, owners and leasers of premises used for the Kambo treatment ceremony (“RELEASED PARTIES''), with respect to any and all injury, disability, death, or loss or damage to person or property, WHETHER ARISING FROM NEGLIGENCE OF THE RELEASED PARTIES OR OTHERWISE, to the full extent permitted by law. I KNOWINGLY AND FREELY ASSUME ALL RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES or others, and assume full responsibility for my participation.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.