The Return

1

what's your name?* This field is required.

First Name

Last Name

2

email you actually read* This field is required.

example@example.com

3

phone number* This field is required.whatsapp is best as i’m international

Country Code

Area Code

Phone Number

4

which best describes you right now?* This field is required.

5

what have you already tried?* This field is required.please choose all that apply

therapy

coaching

plant medicine

retreats

breathwork or somatic work

none of these yet

6

dietary needsno judgment, just curious

7

allergies or anything you can’t eat? (optional)

8

how do you usually show up in a group?* This field is required.feel free to be as detailed as you wish

9

time, date, and location of birth* This field is required.

10

how did you find me?* This field is required.so i know where i'm reaching people

11

the investment* This field is required.the hawaii return is 5 days, lodging and meals included. $3,000 all in, payment plans available. where are you with that?

yes, i'm ready

yes, and i'd like to talk about a payment plan

interested, but need more information

not yet, but i want to stay close