Honoring the Sacred Form — i.e. KAWA

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Honoring the Sacred

Please submit the form below if you have any questions or are interested in applying for our upcoming virtual Plant Medicine Program!

Name *

First Name

Last Name

Email *

How did you hear about the program? *

Why are you drawn to work with plant medicine? Do you have any experience working with psychedelics or plant medicines? If so please give a brief description. *

Are you at least 21 years of age?

yes

no

Have you recently taken any medication with psychoactive substances such as antidepressants or vasodilators?

We will meet virtually one day a week for 2-2.5 hours. If accepted into the program what day of the week or time works best for you?

Monday Evening

Wednesday Evening

Friday Evening

Saturday or Sunday Morning

Saturday or Sunday Early Afternoon

Are you more drawn to working with Cacao or Microdosing?

Cacao

Microdosing

both equally

Please let us know if you have any other questions!

Thank you, we look forward to connecting soon!

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