Initial Inquiry (new to Eden - WAITLIST): Private & Group Retreats 2025 (CO)

THIS FORM IS FOR YOU IF:

1. YOU ARE NEW TO EDEN (ie: have not previously attended an Eden Retreat)

2. YOU ARE NOT COMING TO US THROUGH A DIRECT REFFERRAL (ie: from a current Eden Member or your doctor, psychiatrist, or other practitioner).

There is a lot of attention being given to psychedelics right now. Eden continues to be a leader in the space and our Retreats fill up quickly. Please complete the Inquiry Form below to join our Waitlist.
PRIVATES, SEMI-PRIVATES, AND COUPLE'S RETREATS: If you are interested in booking a Private, Semi-Private, or Couple's Retreat, please provide 3-4 dates that work for you. Please include weekdays and weekends.

Name*

First NameLast Name
Phone Number*
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Address*

Street Address

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Postal / Zip Code
Email*
example@example.com
Profession*
Linkedin Profile or other Professional/Career Page. If no career page, please include a link to social media page*
Education*
Age*
Date of Birth*

MonthDayYear
Date
Your intention with this experience*
Please select the level of financial investment you are prepared to make:

Microdosing + Coaching Program ($1300 for 4 months)Day Trip with 4-week Coaching Program ($4000 - $8000)4-Night Group Retreat with 8-week Coaching Program ($8000 - $12,000)3-Night Private Retreat with 8-week Coaching Program ($29,000+)Eudaimonia VIP Group (4-Night Group Retreat, 12 Months of Private Coaching with Dr. Stefanie, Golden Channel Microdosing Program ($32,000/year)Eudaimonia VIP Private (3-Night Private Retreat, 12 Months of Private Coaching with Dr. Stefanie, Golden Channel Microdosing Program ($52,000/year)
Please tell us about your experience with plant medicine. If you have no experience, simply write "No experience" in the box below.*
How did you learn about The Sacred House of Eden?*
If you have been referred to us, please tell us (by name) who referred you to Eden:
Anything else you feel is important for us to know:
Which type of lodging are you interested in? Investment amounts are listed on OUR OFFERINGS page of our website (www.TheSacredHouseOfEden.com)*

Private Guest SuiteShared Guest SuiteCamp Eden
If you have been with us before, when is the last time you joined us for Retreat?
Please upload a copy of your driver's license or other form of ID. We need this for proof of age over 21 years old (JPG or JPEG only)*

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