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APPLY BELOW FOR YOUR HEALING EARTH AND PLANT SPIRIT MEDICINE RETREAT

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SAKRD
APPLICATION FORM

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

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Are you currently taking any SSRIs (Selective Serotonin Reuptake Inhibitors)?
What is your diet preference?
As the next step in the registration process, a Zoom call will need to be scheduled.

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I have read and understand the Privacy Policy & Terms and Conditions (See link above).

Thank you for your application. We will review it and be in touch shortly.

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