“Thank you for your interest in participating in an ONAC Medicine Ceremony. Please read the following before beginning. You must be 18 years of age or older to participate unless prior arrangements have been made. All answers must be honest, accurate, and complete — please do not abbreviate your answers or diagnoses. This form exists entirely for your safety and wellbeing, and to help us understand your specific needs. Any answers that raise questions will be discussed with you privately before ceremony and will not necessarily prevent your participation. You must be a member of Oklevueha Native American Church in good standing to attend. Please have your ONAC Membership Card available at ceremony. Do not bring any medicine of any kind to ceremony.”