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-   Plant Spirit Healing & Awakening-



Health & Wellness Application Form


Thanks for your interest in booking your Ayahuasca Healing Retreat with us at Casa Galactica! The first step is to fill out our in- depth, confidential Health & Wellness Application Form below. This is to ensure the safety of yourself, our staff and all other retreat participants. There are some personal questions that may be a little tough to answer, but please be as thorough as you can. We have your best interest at heart and this will enable us to obtain an in-depth overview of your personal circumstances, to be of service to you in the best possible way. This application form is 100% confidential. Please be aware that not being honest or  withholding information could seriously harm you or those around you, and in a worst case scenario, even death.

All-Inclusive 10-Day Ayahuasca Retreat Costs (Excluding Flights)

$3500 - Cassiopeia - Private Room with balcony and shared bathroom

$3250 - Pleiades, Orion and Andromeda, private rooms with shared bathroom


Once we have confirmed your acceptance to our retreat we will request a 50% non-refundable deposit to confirm your place and the remainder paid within 8 weeks of the start date of your retreat.

Payment methods accepted - ACH or Wire Transfer to our US Bank Account (Without Additional Charge)

PayPal: + 7 % Payment Processing Fee

Please read our terms and conditions, medical guidelines, dietary requirements and preparation advice prior to your application.

Do not book flights until we have confirmed your place on the retreat.


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