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Retreat Application

There are no right or wrong answers, please answer honestly 🤍

What's your first and last name?

Email address, please!

Phone

Tell me a little about yourself and what's calling you to a retreat

Which retreat(s) are you interested in?

Have you ever had a psychedelic experience?

How did you hear about these retreats?

Please list any current medications. I’m not being nosy 🤍 This just helps me understand where you’re at and make sure psychedelics are safe for you. If you’re not comfortable sharing this here, that’s completely okay. We’ll discuss it privately before any booking is confirmed.

On a scale of 1-10, how ready are you for this experience and retreat?!

1- Not ready

2

3

4

5

6

7

8

9

10=Full 🍑 ready

If you’re invited to join, are you prepared to make an investment in yourself if this feels like the right fit?

Is anyone else involved in making this financial decision with you?

Are there any other things you think that I should know about you, or any other major questions that you have about this experience?

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