Application Form

Inwardbound Introduction to Psychedelic Facilitation Educational Online Programme

Flexible Dates

- With Rob Ó Cobhthaigh (Psychotherapist), Dr. Darragh Stewart Phd, Sophie Adler (Psychologist), Declan Hammond- Psychedelic Therapy Training and Atira Tan- Somatic Trauma Therapist and Psychedelic Therapy Training

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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1 Choose the dates of your stay

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2 Accommodation Options

Please note that the full programme price is 2,500 euro.

€613.77 – 499 plus VAT 23% = €799

Guests

3 People in your group

Guest 1		First Name* Last Name* Email* Gender
Guest 1		First Name* Last Name* Email* Gender

4 Participant Info

First Name *
Last Name *
Email *
Gender
Do you have any relevant professional qualifications eg therapists, psychotherapist? If so, what are they?
Terms and Conditions *	I accept the terms and conditions.Please read the terms and conditions
Payments do not include the cost of plant medicines. *	I understand that payments made through Retreat Guru do not include the cost of: plant medicine, psychedelics or similar products. There will be no additional charges for this retreat.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.

5 Security Check

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6 Payment

Payments made through Retreat Guru do not include the cost of: plant medicine, psychedelics or similar products
There will be no additional charges for this retreat.

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