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Retreat Application
To apply, please fill out the information below.
Full Name
Phone Number
Email
What retreat are you registering for?
Are You currently taking any medications?
Have you ever experienced any heart conditions, Schitzophrenia, or Psychosis?
How much experience do you have with plant medicines, and wellness modalities such as breathwork and meditation?
What has lead you to register for this retreat?
Tell us a little bit about yourself:) What are you most passionate about in life? What are you hobbies?
Who refered you to Connect and Evolve?
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