Return to Bliss | A Yoga, Breathwork, & Psilocybin Journey in Costa Rica

...

* These fields are required

1 Welcome

Phone *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Country *
Birth Date *
Marital Status *
Gender *
Medical Issues *	Enter "none" if you have no issues
Do you have any food allergies? *
Please list food allergies here and allergic responses. *
Diet Notes
Comments or Special Needs
Emergency Contact Info *	Please provide the following information- Name, Relationship to you, Address, Email, Phone number.
Terms and Conditions *	I accept the terms and conditions.Please read the terms and conditions
Email newsletter	Please send me the email newsletter
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. Separate payment of $100.00 per person to be arranged with the center.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.

$	Sacred Reciprocity We invite you to support our mission to preserve ancestral healing traditions. Through your contribution, you will directly impact the lineage carriers, their families, and their communities.
$	Pay It Forward Support our scholarship fund for first responders, veterans, survivors of abuse, and those of marginalized backgrounds. Your contributions will be used to support those needing financial assistance.
$	Leave A Legacy Support our mission of healing over profit. Your contributions will be used to directly support the ongoing work of Ananda to give back to the local community.

3.2% Credit card fee	$0

Sub Total	$0

Donations	$0

Taxes	$0

50% Deposit	$0
	$0 next payment date * last payment amount will be $0

Pay	Choose to pay a deposit or the full amount right now.

Due Now	$0 $0

	You will be asked for payment details in the next step. Click the button below to continue.