Retreat Registration
Event Timing: March 19th - 26th 2022
Location: Ahki Retreat, Nosara, Costa Rica

We suggest participants get "Cancel for Any Reason" Trip Cancellation Insurance.
(https://www.trawickinternational.com/travel-insurance-plans/cancel-for-any-reason-trip-cancellation-insurance)
Sign in to Google to save your progress. Learn more
Full Name *
Phone Number *
Registration and Room Request *
Cost of Room includes the cost of the retreat, all meals and shuttle to and from Liberia Airport (Arrival March 19th and Departure March 26th, if you arrive outside of those dates or are traveling from another airport you will be responsible for your own shuttle).  Commuter registration includes all meals. $300 extra for Plant Medicine. See below.
Required
Do you need a shuttle ride from Liberia Airport on March 19th? *
Required
Dietary restrictions or allergies *
List any food allergies or sensitivities below:
Are you wanting to participate in the Plant Medicine Ceremony *
Participation in the plant medicine is optional and costs an additional ($300).  If you are interested you will be required to fill out a seperate survey form and have a short discussion with Ron Nikel the facilitator and he will follow up with you separately.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of 3rd Degree Consulting.

Does this form look suspicious? Report