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Important Note:
After you apply, you will be taken to a booking page to schedule a phone call with us.

Please ensure you book this phone call immediately, as this is a necessary step to ensure there is a right fit for you to join us, for your safety and all our guests.

Complete the application below, and we look forward to connecting with you!

Participant Info

If you have completed a form with us in the past, please enter the same email address you previously used
Please include your country code +
Please enter full name & phone number
If so, please elaborate.
If so please outline what, how much and how often (please be as detailed as possible here)
This includes psychological as well as physical ailments
Please note that ceremonies should not be seen nor are they designed as a substitute for psychiatric or other medical care.
By checking the above you acknowledge that you have read and agree to our Ayahuasca Healings Retreats - Terms and Conditions
8 Day Healing Immersion Ayahuasca & San Pedro Retreat El Camino Sagrado, Peru (Guest Application Form)"/>