Transformation Track Work Study Service

July 3 - August 25, 2018 - Facilitated by Anthony Bossler, Elton Lee Abela, Stella Maillot and Roman Hanis

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$1,111.00 – Transformation Track Work Study Service 7 Week Program Contribution
A deposit of 30% is due in full at the time of registration in order to hold your space. If we are not able to accept you into the program, the deposit will be refunded. Please review the Info & Preparation Package for more details on our refund policy. Some scholarships are available for local Peruvians and others from developing countries with financial limitations.

Participant Info

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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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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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Retreat Guru is the online booking agent for Paititi Institute.
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