The Sacred Tribe Membership ApplicationWe keep everything you share with us secure, private and encrypted.Please share openly and honestly. That’s what this community is built on.Contact InfoName* First Last Email*Please enter a valid email to be able to receive notifications. Mobile Phone Number*Password* Enter Password Confirm Password Personal InformationBirthdate* MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Have you attended a Sacred Tribe event before? If so, which one(s)? I've never attended a Sacred Tribe event before. I've attended a Sacrament Journey I've attended a dinner I've attended a Breathwork Journey I've attended a multi-day Journey I've attended a Sacred Sexuality Training I've attended an Ecstatic Dance I've attended something elseHave you met Rabbi Ben before? Yes, I've met Rabbi Ben No, I haven't met Rabbi BenOccupationDo you have a partner? Yes NoWhat is your partners name?Are they applying with you? Yes NoPartner's NumberPartner's Email Any kids? Yes NoKid(s) names and ages:Were you born Jewish? Yes NoIs your Partner Jewish? Yes NoDid you have a Bar/Bat Mitzvah Yes NoThe Good StuffPlease share openly and honestly. That’s what this community is built on.In a sentence, describe your life philosophy?Have you ever had a transcendent experience? If so, tell me about it!Something like an experience of "oneness" with the universe/source/G-d; the deep feeling and knowing that we are, at once, nothing and everything...Tell me a bit more about your relationship to spirituality and/or religion.Have you explored altered states of consciousness? If so, what methods? What were the results? If not, are you interested/open to doing so?What do you want your experience in life to be? What experiences are you seeking?How about here, within this community?Do you have a daily practice? What does that look like?Do you currently microdose? Yes NoHow often?Do you have journey experiences with sacrament/substance? Which substance(s)? How frequently? In what context?(religious, medical, recreational)If you were going to teach a class on any subject in the world, what would it be?HiddenWould you like to teach that class within our community? Deselect All Zoom LiveMedicalHave you been diagnosed with: Schizophrenia Bi-polar disorder Borderline Personality DisorderPlease describe your mental health history.Do you take any of the following? SSRI antidepressants MAOI inhibitors Dextromethorphan Pseudoephedrine Codiene Bitter Orange Synephrine Linezolid Nasal Vasoconstrictors Salbutamol SulphateInitial here that your birthdate above is correct.Thank you so much for having the courage to dig deep. We’re so excited to speak with you soon!!! With love, Rabbi Benjamin and the Mifneh posse
