Grandmother Ceremony with Najib & Etheric

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Which dates/locations are you registering for?(Weekend cost includes 3-day stay at Deva Haven, ability to camp on the land or sleep community-style in the Deva Dome, all meals provided, one private energy healing session, a mountain excursion and everything listed on the itinerary - please note that the itinerary may change at any point, depending on weather, accessibility, or other unforeseen circumstances.)
Please Select
Please Select
July 25th-27th ($400 total cost)
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Legal Name* This field is required.Please enter your legal first and last names
First Name
Last Name
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Preferred Name* This field is required.Please tell us how you would like us to refer to you
First Name
Last Name
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Email* This field is required.Please enter your email address
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number.
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Emergency Contact* This field is required.Please enter the legal first and last name of an emergency contact
First Name
Last Name
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Please enter your emergency contact's phone number* This field is required.
Please enter a valid phone number.
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Do you have experience with Cacao?* This field is required.
YESNO
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Do you have experience with Rapé?* This field is required.
YESNO
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Have you attended one of Etheric or Shandell's previous gatherings?* This field is required.
YESNO
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Are you willing to commit to the pre-ceremony diet before entering ceremony?* This field is required.If you have not read the "Preparation" page of the website, please do so now.
Please Select
Please Select
Yes.
No - I have specific dietary needs that go against the diet.
I would like to, but I need help understanding it.
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Please write out any specific health concerns or needs that you have.* This field is required.Please disclose any medical diagnoses whether you think they are important or not.
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Are you currently taking any prescription medications or supplements?* This field is required.If so, please list them here. Your honesty = our safety.
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Do you have any food or plant allergies?* This field is required.If so, please list them here. Your specificity = our safety.
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What is your intention with attending this retreat?* This field is required.Please be specific.
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The next step is submitting your $150 deposit to reserve your spot! Please send your deposit to @highvibes on Venmo, or $crystalchildvibes on CashApp (as friends and family, or else we will need to charge tax as well). Once completed, Etheric and Shandell will contact you to schedule a pre-retreat consultation phone call. Below, please write: the platform you sent your donation on, the account name it was sent from, and the days of the week that are generally best for you to have a consultation. Please contact one of us directly if you need to use a different payment method. Click the submit button below only after these last steps have been completed, and your spot for ceremony will officially be reserved!
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