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Retreat & program application

Thank you for reaching out! Welcome to your pilgrimage To Apply for any of our programs or retreats, please follow these steps: 1. Complete the application form below. 2. Click "Submit" & book your Free Discovery session 3. Have a conversation with one of our facilitators - Your booking is only finalized after this step to ensure alignment & safety. We're honored to support you on this journey.

⚠️ Our programs are deep, personalized, and transformational — not casual or feel-good. This application helps assess if you’re ready for the level of introspection, challenge, and growth required. Only proceed if you're committed and ready for a life-changing experience.

Please answer all questions thoughtfully, honestly, and in full.

Name

Email

Phone Number

Have you ever participated in a psychedelic assisted program before? if yes please describe

Briefly describe the reasons you are seeking this mode of healing & Transformation, What are your motivations for seeking a psychedelic assisted program (e.g., healing from trauma, goal achievement, spiritual exploration, anxiety, depression, relationships...)

How long have you been experiencing these challenges?

How long have you been experiencing these challenges?
A
B
C

What are your hopes and goals for this experience?

Are you aware of the potential risks and side effects of Ayahuasca &/ psychedelics in general?

Are you aware of the potential risks and side effects of Ayahuasca &/ psychedelics in general?
A
B
C

Do you feel prepared for an intense, challenging transformative psychedelic program?

Do you feel prepared for an intense, challenging transformative psychedelic program?
A
B
C

How did you hear about our retreats &/or programs?

How did you hear about our retreats &/or programs?

Is there anything else you'd like to share or ask that you feel is important for us to know before the discovery call?