• Wildly Human Founding Circle Application

  • This application helps ensure Wildly Human remains an intentional, supportive, and aligned space for everyone involved. You don’t need perfect answers. Please respond honestly and simply.Applications close July 23, 2026, or once all spaces have been filled.

  • Basic Information

  • Format: (000) 000-0000.

  • Safety & Practical Considerations

  • Please indicate if you take or have a history of taking any of the following medications.*
  • Have you ever been diagnosed with or experienced any of the following? (Check all that apply)*
  • Are you pregnant, breastfeeding, or planning to conceive?*
  • Do you regularly use alcohol, cannabis, nicotine, stimulants, or other substances? If yes, briefly share your relationship to them.*

  • Curiosity & Intention

  • Have you microdosed before?*

  • Group Readiness

  • Commitment

  • Agreements & Consent

    • I understand Rachel offers education, coaching, and harm-reduction support, not medical, therapeutic, or psychiatric advice.
    • I understand Rachel is not a mental or medical health professional.
    • I understand Rachel does not provide or supply substances.
    • I confirm my answers are true and accurate to the best of my knowledge.
    • I understand that submission of this application does not guarantee admission.
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