REGISTRATION FORM

We offer 9 days of private retreat in the amazing Lake Atitlan, Guatemaya. Please choose the dates that suits you better.

Name

First Name

Last Name

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

Email Address

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

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: *

Do you want us to take care of your transportation in Guatemaya? If so, please include in your retreat cost us$300 for: Private Pick up and drop off at Ciudad de Guatemaya International Airport, Private Transportation from/to Guatemaya City to Panajachel, Private boat from/to Panajachel to our Lake Side Retreat House

Thank your for taking the time/art to fill this form. We are honored to be able to serve you and share our home and heart with you.

If your application is accepted and we feel your purpose aligns with us, a link will be sent to your email for you to pay the 30% deposit. The deposit secures your place. If there is any cancellation, the deposit will not be refundable. For any extra comments please write below.