Jungle Sacred Plant Medicine Interest Form

Jungle Sacred Plant Medicine

INTEREST FORM
Hello! Thank you for your interest in the Jungle Sacred Plant Medicine Journey to Peru in 2026. Please take a moment and fill out the form below so that I can learn a little bit more about you and so that we can schedule a 30-minute discovery call to answer any questions you might have that might not be included in the website description of the retreat. Please note, that this retreat is by application only and that filling out this form is only a preliminary step.

As we comprise a group for this kind of communion we want to ensure mutual readiness and appropriateness for group participation for everyone's safety. Thank you for understanding the importance of this part of the process.

I look forward to meeting you!

In gratitude,

Maribel
Name

First NameLast Name
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How do you identify (race, ethnicity, gender, orientation, etc.)
Email
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What draws you to the Jungle Plant Medicine Journey?
Do you have past experience working with Sacred Plant/Earth Medicines?
We are prioritizing BIPOC folx and allies as participants on this retreat. What, if any, is your experience and/or your understanding regarding the intersection of social justice and spiritual work?
Is there anything you would like to share about yourself and/or your interest in this offering?
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