Application Form

Fill in the form in English or Dutch. Je mag de vragen ook in het Nederlands beantwoorden.

Name

First Name

Last Name

Email

Who are you? Where do you live? What do you enjoy doing?

Are you currently or have you been in therapy?

If the answer is yes, please clarify how long you have been in therapy, the type of therapy and your current mental and emotional state.

Is this going to be your first psychedelic experience?

If you have previous experience, please clarify the type of psychedelic and how long ago you had your last experience.

Do you have a trauma history, mental diagnosis or are on any medications?

Sanne is not qualified to give medical advice. If you are on a medication, make sure to check the compatibility with Psilocybin with your doctor.

What ceremonial setting suits your wants and needs best?

private ceremony (one-on-one session)

couples ceremony (a shared session with a partner or friend)

group ceremony (small group 5 participants)

If you would have to describe your intention for joining the ceremony in one sentence, what would it be?