Application Form

Inwardbound 5-day (18th - 22nd June 2027) Group Retreat. 2 Psilocybin Ceremonies. Netherlands

June 18 - 22, 2027
- With Rob Ó Cobhthaigh (Psychotherapist)

Please do not fill in this application form until you have booked an initial consultation call viaadmin@inwardbound.ie.

Please take your time in completing this application form. The information you supply is treated with the strictest confidence.

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Accommodation Options

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Sold Out
€4,999.00 – €4,999 per person: Private room
Sold Out
€4,499.00 – €4499 per person: Sharing a twin/double room as a couple
Sold Out
€4,999.00 – €4999 per person: Private room with ensuite

People in your group

Guest 1
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Guest 1
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Email*
Gender*

Optional Items

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Participant Info

Please take your time in completing this Pre-Screening Questionnaire. It is for your own safety that we require you to disclose as much detail about your medical history as possible. The information you supply is treated with the strictest confidence refer to Privacy Policy and ToS. We will do our best to accommodate Participants on InwardBound Retreats - subject to our Terms and Conditions. Please book an exploration call via admin@inwardbound.ie before filling in this application form to make sure you are a suitable candidate. InwardBound reserve the right to refuse participation if the safety or Participants may be compromised. Please provide all information that you feel is relevant. If you have any questions, please email admin@inwardbound.ie Any Participant who provides incorrect information or obscured details, may be endangering themselves and others and can be expelled from the retreat without question and without refund at the sole discretion of the Organiser. Once completed we will screen it and send on our full screening form and book you in for your consultation screening and preparation call.
Please read our Privacy Policy
Supplementary Products Exclusion: Participants acknowledge and agree that these Fees presented and payable pertain solely to Services and Offerings, and will not include the cost of any plant-medicines or similar products (collectively, "Supplementary Products") which may be provided, offered, or distributed by a Commercial User, or any other party, in connection with Services or Offerings. Retreat Guru shall bear no responsibility or liability in connection with any provision, offering, or distribution of Supplementary Products, and is not a party thereto. All capitalized terms used herein shall carry the same meaning as assigned to them in Retreat Guru's Terms of Service.

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Payment

Payments made through Retreat Guru do not include the cost of: plant medicine, psychedelics or similar products
Separate payment of €75.00 per person to be arranged with the center.
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