Savage Encounter
2023 Registration Page
First Name
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Last Name
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Date of birth
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Do you have any preexisting medical conditions? If yes please detail
Are you currently taking any medication? If yes, which and for what treatment purpose?
Do you currently consume drugs and or alcohol? If yes, which and how often?
Why do you feel called to attend Savage Encounter?
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Payment Method
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PayPal
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BTC
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Agreement
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I understand that Savage Encounter takes place in the jungle and it is not a luxury setting
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