Sign-up

How nice that you are signing up for a retreat with us again.

To guide you as well as possible during the retreat, we have a few additional questions.

First name *

Last name *

Company

Email *

Phone *

Date of birth *

Streetname + number *

Zipcode *

City *

When was the last time you visited us for a psychedelic retreat? *

Looking back, how was your experience and what was your biggest insight? *

What is the reason you are registering for this retreat? *

What would you like to know, find out, learn, process this time? *

Do you ever use mind-altering drugs? *SelectYesNo

Yes, when was the last time and what did you use? *

Are you currently taking any medications? *SelectYesNo

Yes, that is: *

Did anything change in your health situation since your last visit? *SelectYesNo

Food-wise: what do you like to eat? *

Something you can really enjoy

And what would you rather not eat? *

Allergies, diet or conscious choices

Is there anything else that is good for us to know to make your stay comfortable and pleasant? *

What can help us make your experience as pleasant as possible for you

Confirm *

• I have answered the above questions truthfully.

By signing up you agree to the privacy policy of The Matter.

Sign up