Ayahuasca Retreat

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Retreat Guru is the online booking agent for Mai Niti.

* These fields are required

1 Welcome

2 Choose the dates of your stay

3 Price

4 People in your group

Guest 1		First Name* Last Name* Email* Gender
Guest 1		First Name* Last Name* Email* Gender

5 Participant Info

Gender
Birth Date
Emergency Contact Info *	Please provide a name and number of a trusted family member or friend who we can contact in case of emergency
What are your intentions for joining us at the center? *	Please share with us your intentions for drinking ayahuasca and working with plant medicines.
Do you have any previous experience with ayahuasca or other psychedelic medicines or substances? *
Please tell us about your food allergies or sensitivities (if any) that you have

6 Health and Medical Information

7 Additional questions

8 Payment