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6-Day Sisterhood & Sacred Medicine Ceremony Retreat Application Form

Tell me, what is it you plan to do with your one wild and precious life? (Mary Oliver)

We want this to be a beautiful and supportive retreat and ceremony for every guest, and this application is part of that care. Some of the questions ahead touch on health and medical history — they help us hold the space safely for you. If anything feels difficult to answer, please reach out to Agata or Tula; we're here to support you through it.

First Name

Last Name

E-mail

Whatsapp #

Birthdate

Pronoun

Occupation

Which country are you located in?

Are you currently working with a therapist or coach?

What inspired you to apply for this retreat?

Have you had experiences with sacred plants and alternative medicines? Please specify.

How did you hear about us?

How did you hear about us?