Weekend Retreat Space Holder Application

April 24 - 26, 2026

With Alex Myrin and Jacquelyn Myrin

...

...

* These fields are required

Password Required

Please fill out a general inquiry form, or reach out to Alex, after being prescreened , we will provide the password to register.

Password:

1 Welcome

Please fill out your details and press Continue.

First Name *

Last Name *

Email *

Save my progress and send me an email reminder

2 Price

Sorry! Your selection is no longer available.

Sorry, there is no space available for these dates.

Select an option*

More Photos
Sold Out

General A/C'd Accommodations Area

More Details +

$350

$350

$350
General A/C'd Accommodations Area

Close
×

3 Participant Info

Gender
Phone
What are your intentions or goals for participating in this ceremony?
Please list any prescription medications or supplements you currently take or have taken in the last 30 days
Do you have a history of any of the following medical conditions.	Crohn's disease Heart conditions High blood pressure Irritable bowel syndrome Seizures Self or family history of Bipolar/ Schizophrenia None of the above
If you answered yes to any of the above, please expand on the details
Do you use any alcohol, marijuana or any other recreational drugs	Yes No
Please elaborate, last time, how much and how often
Terms and Conditions	I accept the terms and conditions.Deposits and payments are non-refundable but may be used as a credit towards future bookings.
Payments do not include the cost of plant medicines. *	I understand that payments made through Retreat Guru do not include the cost of: plant medicine, psychedelics or similar products. There will be no additional charges for this retreat.Supplementary Products Exclusion: Participants acknowledge and agree that these Fees presented and payable pertain solely to Services and Offerings, and will not include the cost of any plant-medicines or similar products (collectively, "Supplementary Products") which may be provided, offered, or distributed by a Commercial User, or any other party, in connection with Services or Offerings. Retreat Guru shall bear no responsibility or liability in connection with any provision, offering, or distribution of Supplementary Products, and is not a party thereto. All capitalized terms used herein shall carry the same meaning as assigned to them in Retreat Guru's Terms of Service.

4 Donate

Please enter your donation amounts below

$	Donate to the scholarship fund Donation Your donation will anonymously sponsor the ceremony participation of someone in need who otherwise could not afford to participate.

5 Payment

Payments made through Retreat Guru do not include the cost of: plant medicine, psychedelics or similar products
There will be no additional charges for this retreat.

3.5% Credit card fee	$0

Sub Total	$0

Donations	$0

Taxes	$0

Deposit	$0

Pay	Choose to pay a deposit or the full amount right now.

Due Now	$0 $0

Choose Payment Option

	Your registration will be complete once we receive your deposit payment. Click on the button below and these instructions will be repeated on the next page.

	You will be asked for payment details in the next step. Click the button below to continue.