Open Access application

1

Name* This field is required.

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.ideally for WhatsApp

4

Have you sat in circle with Dennis before?* This field is required.Please let us know where and when

5

For which gathering would you like to be offered an Open Access space?Please list the dates, or just say 'any' to be considered for all future ceremonies

6

Please tell us about your level of experience with the sacred plants and/or psychedelics* This field is required.Please elaborate

7

Please tell us why you feel the calling to join us for this intimate gathering* This field is required.We would like to hear your intention for wanting to join us in ceremony

8

You have read this note around Open Access spaces and how you will be contacted?* This field is required.If an Open Access space becomes available in the days before a gathering, an email will be sent out to everyone on the Open Access list. Whoever responds to that email first will be offered the space. That person will then have the opportunity to donate an amount of their choosing between $1200 - $2000 to participate in the gathering. We will endeavour to contact you within 72 hours of the gathering so that you have ample time to make arrangements.

YESNO

9

Your donation amount* This field is required.Please share what you feel you would be able to donate between $1200 - $2000

10

Anything else you would like us to be aware of?* This field is required.