Upon completion of this form an Open Heart facilitator will contact you within 10-14 days to confirm details and answer any additional questions.

Name

First Name

Last Name

Phone

(###)

###

####

Email

Which Ceremony are you wanting to book?

Select one or multiple

Drum Circle

Pipe Ceremony

Other

Date, Time and Location

Reciprocity

Please share your exchange for this ceremony? (Financial Donation, Accomodations, Meal, Candles, Herbs, other gifts, etc)

Expectations for Harmonious Ceremony

Have you read and agree to the Expectations for Harmonious Ceremony and Honoring Reciprocity outlined on Open Heart webpage? No photography or videos. No phones or electronics. Be mindful of your energy. Respect and honor Nature. If these expectations are not followed by all participants, Open Heart reserves the right to end or leave a ceremony at any time without a refund.

Yes, I agree

No, I do not agree