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Application

Shamanic Permaculture Work Study Service (w/ Sacred Plant Initiation)

February 12 - March 13, 2018 - Facilitated by Anthony Bossler, Elton Lee Abela and Roman Hanis

Retreat Guru is the online booking agent for Paititi Institute.

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Contribution

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$750.00 – Shamanic Permaculture Work Study Service
A 30% deposit is required at the time of registration. Some scholarships may be available for those with financial limitations. Write us to inquire. If you are not accepted into the retreat your deposit will be refunded. Please review our cancelation/refund policy in the Info & Prep Document before applying.

Participant Info

This is used so we can create a facebook group for participants of this program.
Please include Full Name, Relationship, Phone & Email
Food, medicine, specific insects, etc.? List "none" if you have no allergies.
Enter "none" if you have no issues.
If yes, please share details.
Have you ever been diagnosed and/or hospitalized due to mental illness? If no, please state "none".
State "none" if not applicable.
List all by name, dosage and reason for taking. State "none" if you don't take medications.
List all medications you stopped taking in the last year and what they where taken for.
Please share the details of your birth control method. If not applicable state "none".
Any additional health & care information not listed above that we should be aware of.
We will be in a backcountry setting, off the grid and with no services.
WFA, WFR, etc. If yes, please share the specifics.
State "none" if not applicable.
State "none" if not applicable.
If yes, specify the program, school, number of semesters & clinic hours completed.
If yes, please share details (when, where, what, etc.).
In addition outline any requirements.
Please expand: Do you have a PDC? (where, when and with who) Climate zones, projects, etc.
(please include your experience with meditation, shamanism, sacred plant ceremonies or any other modalities)
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For the benefit of all beings.
Through the resources we generate we are committed to continuing our development of a regenerative and reproducible model which can give back to humanity on many levels.

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