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Expression of Interest - Intake Form


invites you to take the ultimate journey into plant medicine

Has IBOGA called you? 

Consider partaking in a ceremony that will show you its superpower of healing?

IBOGA plant medicine assists you in getting to know yourself on a deeper level,

help awaken your spirit and connects you with your soul. 

At some point in our lives, many of us have struggled with life issues such as anxiety, depression, grief, guilt, shame, etc.

Some of these issues may have subsided with time, possibly even completely healed,

while others may still be pulling some weight in our daily lives. 

In a traditional IBOGA ceremony of awakening, we learn about ourselves on all levels; physically,

mentally, emotionally, and spiritually. IBOGA helps by breaking down the illusions of the egos,

reprogramming the mind by eliminating false beliefs, and releasing any type of pain.

Working with IBOGA, you see life with a different pair of lenses.

You open up to be your best self

leading you to live your best life,

one of true happiness.

We invite you to complete our intake request form.

To be able to book a retreat, we require a short interview to ensure you are ready and able to walk the journey with IBOGA. There are some contraindications with IBOGA and

some may need extra steps before attending a retreat.

Once the intake has been submitted, one of us will be in touch shortly to discuss the next steps. 

Registration Intake Form
How did you find out about us?
What event locations are you interested in?

The following questions will assist us in understanding your personal situation and current health condition. Privacy is essential, and all information gathered is purely to ensure your safety and help us make any precautions required for your IBOGAwaken Retreats & IBOGATemple.

We will discuss these details with you further on our phone consultation to approve your application for your IBOGAwaken Retreats & IBOGATemple.

Are you seeking to resolve any of the following?
Do you have any of the following?

By submitting you will also receive our IBOGAwaken Retreats newsletter that gives you quarterly updates on new retreats, locations, and everything new to  IBOGAwaken & IBOGATemple. Our newsletter aims at involving you in our world and the world of possibilities for you.  

Thank you! We’ll be in touch.

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