Journey Application | SAKRD Journeys

Please list any past or present physical health conditions.

Please list any past or present psychological health conditions. Some examples include: schizophrenia, paranoia, depression, anxiety, multiple personality disorder, bipolar disorder, PTSD, ADD, ADHD, self harm, eating disorder, panic attacks, obsessive compulsive disorder, etc.

Are you taking any prescription drugs for these conditions?

Have you ever been diagnosed or treated for any addiction?

Do you have a family history of drug or alcohol addiction?

Are you allergic to any food or medication?

Do you have a history of trauma? If so, please give some background on the experiences in your life.

Lastly please share your intention for wanting to participate in this type of journey experience. Take your time with this question as your intention plays a major role in your journey experience.

APPLY BELOW FOR YOUR HEALING EARTH AND PLANT SPIRIT MEDICINE RETREAT

SAKRD
APPLICATION FORM

In order to confirm your identity, please upload a copy of a government-issued photo ID.*

Click HERE to read the Privacy Policy and Terms and Conditions.

NOT READY TO APPLY BUT WANT TO KNOW MORE?

APPLY BELOW FOR YOUR HEALING EARTH AND PLANT SPIRIT MEDICINE RETREAT

SAKRD APPLICATION FORM

In order to confirm your identity, please upload a copy of a government-issued photo ID.*

Click HERE to read the Privacy Policy and Terms and Conditions.

NOT READY TO APPLY BUT WANT TO KNOW MORE?

SAKRD
APPLICATION FORM