Cacao Apprenticeship Application

Thank you for your interest in going deeper with yourself and with the medicine of I’xCacao.

Please complete the following form. Filling out this form does not guarantee that your application has been accepted. We will reach out to you upon reviewing your submission to schedule a call via Zoom. Thank you!

Name

First Name

Last Name

Phone Number

Country

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What is your birth date?

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Where were you born?

Where do you live?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What do you do for work/service?

Please share your website if you have one

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Please share your Instagram handle

Please share your inner call to deepen on this path and what brought you to want to experience it with me

Please briefly share any previous experience you've had with plant medicines, ceremonies, meditation, retreats, yoga and spiritual practice?

Do you have any emotional/mental conditions or circumstances that may affect your experience?

Do you take any medications? If so, please list.

Thank your for taking the time to fill this form. If you have any questions regarding this process please write them bellow.