Privacy & secure submission
This questionnaire contains private health information and is submitted using Jotform's encrypted form system.
Your completed questionnaire is stored as an encrypted submission. CRR Kambo receives a notification that a submission has arrived, and the questionnaire can only be viewed through the protected Jotform account using the encryption access code.
The information you provide will be used only for health and safety screening, suitability discussion and preparation for a possible Kambo ceremony.