Retreat Application Form

The work we do at The Garden of Peace is deep, powerful and requires high levels of maturity, commitment and discipline. We want to make sure our center is the right place for every one who comes through our big green gate. Dieta and Ayahuasca is not compatible with every health condition. As safety is of paramount importance to us, all guests must go through an application process. We do have limited spaces and take no more than 8 guests at a time so please be mindful we usually book out 3-6 months in advance.

We are more than happy to speak with you about any concerns and help you with your application process if necessary.

Many Blessings.

The Garden of Peace Team.

Garden of Peace Retreat Application

Name *

Email *

Which date are you applying for? *

Why are you interested in a retreat with us?

Have you ever experienced a psychosis or thought about or attempted suicide? If so when?

Do you have any experience with psychedelic plants or shamanic journeying?

How did you hear about us?

If you were referred by someone, please let us know.

Please list any medications or supplements that you are actively taking

Please describe your medical history, past and present conditions

Do you have a heart condition, or have you ever had an ECG test to screen for this?

Any other information you would like to convey that we may not have asked?

Once your application has been approved you will receive a link to our payment page via the email you have listed above. Please check your junk folder if you do not see the email come in. This process is not immediate and can take up to a week if you have conveyed something that needs to be discussed with the shaman prior to approval. Please do not make travel arrangements until you have been approved. Please note, your retreat space is not confirmed until you have made your deposit. *

I understand that until my deposit is made my reservation is not confirmed. *

NOTE: Upon clicking ‘submit’, please scroll to the top of the page to confirm success of the form submission.