Stepping into this work is so, so sacred. By even coming to this page and contemplating filling out this form to join The Call of the Sacred Mushroom, you are already showing up with deep reverence to the medicine and to the path. For that, I thank you from the bottom of my heart. This medicine means so much to me, and being given the sacred task of preserving the traditions surrounding los niños santos means even more. It warms my heart that you would even consider joining me in this endeavor.

Gracias Naxskatichili Tlazokamahti 🪶🕊️

Student Application

Name *

First Name

Last Name

Email *

Why do you want to join this program?

I am interested in this course because...

Please check what's most true for you, you can choose more than one!

I work in the psychedelic space and am looking for a deeper understanding of psilocybin that is inclusive of Indigenous traditions.

I facilitate psychedelic sessions/ therapy/ ceremonies and am looking for deeper support in my facilitation technique.

I am interested in facilitating psychedelics and would prefer to learn from Indigenous people.

I consider myself a psychedelic explorer and would like to learn more about psilocybin mushrooms from the Indigenous perspective.

I consider myself a psychedelic explorer and want better tools for spiritual & psychological navigation.

I have never taken psychedelics before and I want to enter this world with deep reverence and intention..

Other

What are your intentions in this experience? What are you looking to learn and why did you come here for support? *

Do you have any experience with psychedelics? *

Do you have any experience with Indigenous ceremonial practices? *

traditional plant medicine ceremonies, Temazcal/ sweat lodge, fire ceremony, etc.

Please briefly describe your experience and/ or relationship with Indigenous or ceremonial practices. *

Please briefly describe your experiences and current relationship with sacred medicines. *

psilocybin mushrooms, other sacred psychedelic plant medicines, herbal remedies, etc. etc.

Please list history of mental health. *

depression, PTSD, anxiety, autism, etc. Self diagnosis is okay here.

Are you currently taking any prescriptions or medications? Please list below if so. *

Have you or has any one in your family ever been diagnosed with psychosis, schizophrenia, or other psychotic disorders? *

If yes, please describe.

How can you pay for this course? *

Please share anything else you would like to share with Azalea.

Would you like to be added to Vibrational Healing's email list (NO SPAM) to receive weekly reflections, psychedelic news, priority sign up for community events, and so much more!?

Please confirm that you understand, agree and consent to the following by marking each box. *

I have truthfully answered all of the questions in this form.

I understand that Vibrational Healing is not responsible for the inappropriate use of psychedelics, nor for the consequences that could be incurred by this practice

Vibrational Healing offers Indigenous healing containers supported by IFS, Somatic experience, and other holistic therapeutic practices. While some of the facilitators are licensed for psychedelic therapy and family counseling, I understand that this work is not a substitute for therapy.

Thank you so much for showing interest in this incredibly important work. We are looking forward to sharing time with you and will get back to you ASAP. 🙏🏾

your weekly dose of medicine

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If you are looking for FREE, confidential peer support during or after a psychedelic experience, please contact Fireside Project by calling or texting 6-2FIRESIDE (623-473-7433).