Apply For A Retreat

To join us for a retreat, please fill out this application and we will respond to you as soon as possible.

The information shared in this application will be kept private and confidential.

For your own safety please provide accurate and truthful information.

* required fields

Full Name *

Address *

State and Country *

Home phone

Mobile phone *

Email *

Facebook or other social media profile link *

Occupation *

Gender *
MaleFemale

Date of birth *

Emergency contact name *

Emergency contact phone *

Diet *
vegetarianveganmeat, chicken, fishdifferent

Food allergies and restrictions

Why do you want to come to this retreat? *

Do you have any previous experience with shamanic plants, with shamans, or in ayahuasca retreats? When and Where?

How do you handle crises? Explain: *

Do you have any medical or psychological conditions? *
Have you ever been hospitalized? *

Are you currently taking any kind of medication or supplements? *
Do you have a history with substances or addictions? *
Explain:

Health insurance for travel - company and policy number:

How did you learn about us? *

Any other comments?

What type of accommodation do you prefer? *

Date *
November 2017December 2017February 2018March-April 2018May-June 2018July 2018August 2018October 2018November 2018December 2018

Ayahuasca Retreat Calendar

9 Days, 4 Ayahuasca Ceremonies

  • Nov  19 to Nov 27 2017
  • Feb  16 to Feb 24 2018
  • Mar  29 to Apr 6 2018
  • Jul  1 to Jul 9 2018
  • Oct  20 to Oct 28 2018
  • Dec  15 to Dec 23 2018

8 Days, 3 Ayahuasca Ceremonies

  • Dec  16 to Dec 23 2017
  • May  26 to Jun 2 2018
  • Aug  18 to Aug 25 2018
  • Nov  17 to Nov 24 2018

Accommodation Pricing

We are a non-profit center, any payment made to TheVine Center is a Donation that goes to support the upkeep of the center and the jungle.

The Ayahuasca Plant ceremonies are always free and optional.

All prices listed are per person

9 Days, 4 Ayahuasca Ceremonies

Double Occupancy Bungalow
USD 2550

Triple Occupancy Bungalow
USD 2250

Five Person Dormitory
USD 1850

Private Bungalow
Enquire for prices

8 Days, 3 Ayahuasca Ceremonies

Double Occupancy Bungalow
USD 2250

Triple Occupancy Bungalow
USD 1950

Five Person Dormitory
USD 1650

Private Bungalow
Enquire for prices