Peruvian "Healing Journey" Tour Reservation Form

Peruvian "Healing Journey" tour

Peruvian tours are created to explore not just the cultural aspect of the Indigenous people of Peru but are also designed for intentional spiritual work with Shamanic Plant Medicine Healing practices through the Shipibo-Conibo tribes in the Amazonian Rainforest jungle.
Full Name *

First Name Last Name
Phone *

Area Code Phone Number
E-mail *
We are a group of: *

3 4 5 6 7 8+
We want to experience: *

Plant Medicine Healing Explore Peru Both
We would like to visit: *

Lima Pucallpa Cusco Machu Picchu Iquitos
We want to do: *

Plant Medicine Healing only Aquas Calientes Rainbow Mountain Machu Picchu Amazon boat ride Jungle animals tour Regalia Falls
We want to experience: *

Ayahuasca Kambo Dietas Huachuma Vomitivo Others
We would like to stay in a: *

4 stars hotel 3 stars hotel 2 stars hostal Jungle lodge
Send me the Pre-screening form

Yes No
Start date: *

Month Day Year
End date: *

Month Day Year
Additional Comments: *
I would like to schedule a call for more details about the tour:
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

Peruvian "Healing Journey" tour