Please fill in the following sheet in the presence of the Abba:

How many weeks do you plan to practice?

Have you donated for your time?

YES / NO

How will you get food for yourself for the duration of your stay?

How will you access the bathroom?

How will you know when your practice time has elapsed?

Exit protocol

You are aware that you can exit the premises in complete silence and that the Abba will make no attempt to speak with you? She is happy to speak with you, but any conversation must be initiated by you, as we are committed to your personal sovereignty. YES / NO

Freedom from influence

• You are aware that you are entitled to be free from any form of intrusion during your practice? YES / NO
• You have been informed of the procedure for reporting violations of your personal ethics during your practice? YES / NO
• You are aware that all of the following constitute forms of intrusion and you do not have to tolerate them:
  • Suggestions from the Abba about what do in the tank.
  • Suggestions from the Abba about what to expect in the tank.
  • Suggestions from the Abba about what you must achieve while in the tank.
  • Conversation or interaction with the Abba or any outside communication source during the intensive.
  • Interruptions from the environment. E.g., loud sounds, thumping.
  • YES / NO

Signature of Recluse  ________________________________________________________________

Date: ________________