New Customer Registration Form

“The medicine calls those who are ready to serve from devotion, not ego.”
You are invited to answer the following questions from your heart. Your responses are confidential and used to discern alignment, readiness, and intention for this path.

Customer Details:

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

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Postal / Zip Code

Phone Number*

E-mail

example@example.com

How did you hear about us?*

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1. Why do you feel called to become a Sacred Medicine Practitioner? What inner voice, life experience, or spiritual insight has led you to this path? How long have you felt this call, and what about it feels aligned with your soul’s mission?

2. Please share personal experiences—whether with sacred medicine, spiritual awakening, trauma healing, or other paths of transformation. What have you transmuted, reclaimed, or remembered through your journey?

3. Which sacred medicines (if any) have you personally experienced, and how have they impacted your life?Include insights, physical/emotional/spiritual outcomes, integration work, and how they’ve shaped your path.

4. How do you apply your healing and spiritual practice to your daily life?What rituals, disciplines, or commitments keep you grounded? How do you navigate triggers, relationships, or challenges with awareness?

5. What does integrity mean to you as a Sacred Medicine Practitioner?In your own words, describe the importance of ethics, humility, consent, safety, and energetic responsibility in this work.

6. How do you envision holding space for others?Describe the type of guide or presence you wish to be. What qualities are essential in a sacred medicine spaceholder, in your view?

7. Do you feel prepared to continue your own healing while walking this path?This work requires ongoing self-inquiry and spiritual growth. Are you open to being both a student and a servant of the medicine?

8. Where do you envision taking your new skills after training?Do you see yourself holding private sessions, working in retreat settings, collaborating with a team, or integrating medicine into your current profession (e.g., coaching, therapy, bodywork)? Be specific. What is your long-term vision?

9. Are you seeking employment, apprenticeship, or mentorship through Bufo Healing Sanctuary after this training? If so, please describe what you’re hoping for. Do you feel aligned with the mission, frequency, and standards of Bufo Healing Sanctuary? Are you open to mentorship, accountability, and team-based learning?

10. Is there anything else you feel called to share at this time?This is a space for anything additional that feels important to your application, your heart, or your path.

Thank you for taking time and sharing who you are. We will review your application and contact you soon.

Much love and appreciation.

Aho,

Marla B. Lindner

CEO/Founder/Board of Elders

Psychedelic Sacred Medicine Facilitator Training Academy