Sign-up retreat - recurring guests

Sign-up

How nice that you are signing up for a retreat with us again. To guide you as well as possible during the trip, we have a few additional questions.

First name *

Last name *

Company

Email *

Phone *

Date of birth *

Streetname + number *

Zipcode *

City *

Do you have experience with psychedelics? *

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

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

Do you ever use mind-altering drugs? *

Are you currently taking any medications? *

Do you suffer from psychological problems? *

Do psychological problems run in the family? *

Do you suffer from heart problems or high blood pressure? *

Is there anything else that is good for us to know? *

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

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

Confirm *