Wirikuta Desert Excursion – Peyote, Mexico

...

PROGRAM REGISTRATION

Thank you for your interest in our program. We are looking forward to welcoming you!
Please follow the registration steps below. After this, you will be invited to an intake call. If you are accepted, we will finalize your booking.

Please note: The $50 registration fee is non-refundable and covers your intake call.
If you are accepted, this will be deducted from the overall donation. If you are taking medication, have a family or personal mental health history, please contact us before continuing your registration.

* These fields are required

1 Welcome

2 Energy Exchange

3 Participant Info

1) Fill out the registration form and make your $50 deposit below.
2) After you have reserved your space, watch for our emails and please book your intake call as soon as possible.
3) Our intake coordinator will confirm your registration.

Please DO NOT book your flights until your registration and intake has been approved.
If for any medical reason a retreat with us is deemed not a good fit, you are entitled to a full refund of any deposit made less the $50 deposit.

What is your date of birth? *	Please note: If you are under 21 years of age at the time of this retreat, we cannot accept your participation.
Phone
Address
Address 2
City
State/Prov.
Zip/Postal
Country
Email newsletter	Please send me the email newsletter
Comments or Special Needs
Gender *	We ask this question for rooming purposes only. If you have questions or concerns about who you may be sharing a room with us, please reach out to support@vaaiga.com
Requested Roommate	Please make sure that all parties request each other.
Special Diet *
Diet Notes	Please let us know any dietary requirements or preferences.
How did you hear about us?
Who do we get to thank for referring you?
Medical Information	It is our job to provide a safe experience for you. To do so, we ask that you please be open about your history and experiences.
Emergency Contact	Please provide contact details for someone not traveling with you.
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Email *
Emergency Contact Confirmation *	I confirm that my emergency contact is aware of my participation in this program should they need to be contacted.

Continue

4 Policies

Terms and Conditions *	I accept the terms and conditions.Please read the terms and conditions
Registration Fee *	I understand that my $50 initial deposit is non-refundable and covers my intake call.
$100 Membership Fee *	I understand that my $100 membership fee of Institute of Ancestral Ceremonies is included in the overall price of the program and is valid for one year.
Payments do not include the cost of plant medicines. *	I understand that payments made through Retreat Guru do not include the cost of: plant medicine, psychedelics or similar products. There will be no additional charges for this retreat.Supplementary Products Exclusion: Participants acknowledge and agree that these Fees presented and payable pertain solely to Services and Offerings, and will not include the cost of any plant-medicines or similar products (collectively, "Supplementary Products") which may be provided, offered, or distributed by a Commercial User, or any other party, in connection with Services or Offerings. Retreat Guru shall bear no responsibility or liability in connection with any provision, offering, or distribution of Supplementary Products, and is not a party thereto. All capitalized terms used herein shall carry the same meaning as assigned to them in Retreat Guru's Terms of Service.

5 Donation

Discount code

5.4% Credit card fee	$0

Sub Total	$0

Donations	$0

Taxes	$0

Deposit	$0

Due Now	$0 $0

Remaining Balance	$0

	You will be asked for payment details in the next step. Click the button below to continue.

PROGRAM REGISTRATION

1 Welcome

2 Energy Exchange

Select an option*

Wirikuta excursion spot

3 Participant Info

4 Policies

5 Donation