Legal Psilocybin Experience
Welcome to our legal psilocybin training retreat. Please complete the form below to be a part of this experience. After completion of the following form we will send you a screening tool to complete for selection to participate in this retreat.
First Name *
Last Name *
Age *
Phone number *
What is your profession/area of work?
*
Have you had any theoretical training in the use of psychedelics? *
Required
Do you have any personal experience with the use of psychedelics? *
Required
The price of the retreat is $5,995 UD (per person).
After screening and selection (by confirmatory email) you will be required to pay a non-refundable deposit of $2,500 USD by November 21, 2022. 

Banking details will follow via email correspondence. For more information visit our website: jaccri.org or contact us at info@jaccri.org
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy