Peru Retreat – Retreat Application

• Application •

Pachamama Sonqo Pilgrimage
28 Sept – 11 Oct 2026

Please take your time filling out this application. Once we receive your application, we will invite you to a brief conversation via Zoom to ensure this journey is a genuine fit for you and the constellation that is gathering. Upon acceptance, a non-refundable deposit will be required to secure your place.

Please note: If you are currently taking antidepressants or any medications containing MAOI or SSRI’s you may not be able to attend this retreat as they are contraindicated in combination with this plant medicine and the results may be dangerous for your health and wellbeing. It may be possible to slowly reduce and come off your medication in preparation for attending, but this would need to be done with the supervision of your medical practitioner. Please note this in your application form if this is the case for you.

Embodying the Altar Retreat Application Form

Name

First

Last

Phone *

City *

State *

Country *

How did you find out about this retreat?

Describe your previous experiences with plant medicine and/or embodiment practices. *

What are your intentions for attending this retreat? *

Are you currently taking any medications or undergoing any medical treatments? If yes, please provide details. *

Do you have any physical or mental health conditions that could affect your participation during the retreat? *

What self-care practices do you currently engage in, and how do you plan to support yourself emotionally and physically during and after the retreat? *

Thank you! Is there anything else you would like to share with us?

If you are human, leave this field blank.