REGISTRATION FORM

Thank you for your interest in going deeper with yourself in the company of Sacred Ix Cacao. Dates for next season are not available yet, if you are interested in participating in a private retreat with us, please fill out the form and you will be informed about upcoming retreats.

In order to start your registration process please go through the following registration form. If you are sharing this experience as a couple, each one of you need to fill out one form. Filling up this form does not guarantee that your application has been accepted.

How many days would you like to retreat?

Select the one that works best for you

Please choose your contribution within the following range according to your own possibilities. If you live in Central or South America please apply 30% discount to all the sliding scales. Contribution includes food, lodging and teachings.

4 Day Retreat: US$1100 to US$1300 per person. Online $ 555 7 Day Retreat: US$1750 to US$2100 per person. Online $ 777 13 Day Retreat: US$2800 a US$3200 per person. Online $ 999

What is your full Name?

First Name

Last Name

When is your birth date?

YYYY

Where were you born?

Where do you live?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your Phone number?

Country

(###)

###

####

and your Email Address?

Please, share with us your inner call of going deeper with IxCacao?

If you already sent an intention letter, please copy that here.

Why you choose KakawSana?

Please briefly share with us any previous experience you've had with plant medicines, ceremonies, meditation, retreats, yoga and spiritual practice? *

Do you have any physical conditions that may affect ceremony, meditation or yoga practice? *

Do you have any emotional/ mental conditions or circumstances that may affect your retreat experience? *

Do you take any medication? If so please list: *

Thank your for taking the time/art to fill this form. If you have any questions regarding this process please write them bellow. We will go through your application form and you will receive an email to schedule a call via zoom. Thank you