Page 1 of 1

Sagrado San Pedro Church — Membership Application

Welcome. We are glad you are here. Membership at Sagrado San Pedro Church means joining a living tradition — one that asks only one thing of you: sincerity. Please read and complete all sections carefully before submitting.

Personal Information

Full Legal Name

Date of Birth

Email Address

Phone Number

City and State of Residence

How did you hear about us?

Health Disclosure

This information is confidential and collected solely for your wellbeing and the safety of our community.

Please describe any physical or mental health conditions we should be aware of (leave blank if none)

Are you currently taking any prescription medications? If yes please list them here (leave blank if none)

Your Beliefs

There are no right or wrong answers — only honest ones.

How did you first encounter Huachuma and what does it mean to you personally?

What draws you to the Huachuma tradition and Sagrado San Pedro Church?

Declarations

Please read each statement carefully and check the box to confirm your agreement

All answers provided are truthful and my own.

All answers provided are truthful and my own.
Please read our Statement of Faith before checking the box below.
Please read our Membership Covenant before checking the box below.
Please read our Liability Waiver before checking the box below.
Untitled checkboxes field