Apply for a Private Retreat in Nayarit, Mexico

Thank you for your interest in going deeper with yourself through ceremony and connection with the Earth. Private retreats were thought as a more intimate space in time to sit with yourself, pause, slow down, relax, breathe, listen and smile.

In order to start your registration process please complete the following form. If you are sharing this with someone else, each one of you needs to fill out one 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

(###)

###

####

What is your birth date?

YYYY

Where were you born?

Where do you live?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How many days would you like to retreat?

Select the one that works best for you

Please share your inner call to deepen with this experience

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 retreat experience?

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

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