Registration: April 2026 Women's Retreat Program

Retreat: 23 – 26 April 2026
Program starts: March 2025
Program ends: May 2026
Price: 3,800 euro

Please read before completing this registration form

We kindly ask you to complete this pre-screening questionnaire with care and honesty. The purpose is to help ensure your safety, which is why it’s important that you share all relevant details about your physical and mental health. Having a psychiatric diagnosis or taking medication does not usually exclude you from participating, but it may be important for your safety. This information helps us make the experience as safe and beneficial as possible for every participant. All information will be kept strictly confidential, in line with our Privacy Policy and Terms of Service.

Please choose a retreat date:

First Name

Last Name

Nationality

Date of birth

Gender

Country of Residence

If you have a discount code, please enter it here:

We would love to hear what motivates you to join the retreat, whether it’s insight, personal growth, or simply curiosity. Whatever you share helps us make the experience more meaningful for you.

Medical history

Please fill this out thoroughly. This retreat involves ingesting psilocybin, which can interact dangerously with certain substances. Having a medical prescription or a psychiatric diagnosis does not necessarily exclude you from participating; we ask for this information only to ensure your safety and adapt the retreat to your individual needs. The list below is not exhaustive, so it is imperative that you include all currently and recently used substances or medications..

Do you take any medication?

If yes, or other, which one(s)?

Do you suffer from high blood pressure?

If yes, or other, please provide relevant details:

Do you regularly consume any recreational drugs?

If yes, or other, please provide relevant details:

Have you experienced difficulties related to alcohol use?

If yes or other, which?

Have you ever had any experience with psychedelic substances?

If yes, or other, what psychedelic substances?

Have you ever been given a psychiatric diagnosis?

If yes, or other which one(s)?

Are there or have there been cases of psychosis, bipolar disorder or severe personality disorders, such as schizophrenia, in your family?

Have you ever attempted suicide or seriously considered taking your own life?

Is there anything else you feel is important for us to know?

Your business registration number (if you want it to be included on the invoice for VAT)

Please provide us with an emergency contact information (Name & phone number)

I hereby confirm that all the provided information above is true & complete.

Terms and Conditions

After submitting this registration, you will receive an email with information on how to can pay the deposit.

I understand that my place in the program is only confirmed once the deposit has been received.

I acknowledge that the Ketter retreat program is not intended as treatment for severe mental health conditions and is not a replacement for psychiatric or medical treatment and I take full responsibility for providing accurate and honest information during the screening process.

I have read and accept the Privacy Policy regarding personal data.

I have read and agree to the Terms and Conditions.

Program describtion and schedule

Read more about what to expect from the retreat program and an example schedule. Here you can also find practical information.

Additional preparation & integration sessions

Your retreat program already includes a personal conversation with a facilitator, along with scheduled online group sessions before and after the retreat.

If you would like extra one-on-one time for deeper preparation or integration, we’re happy to offer additional sessions at a rate of 140 euros per hour.

Simply let us know, and we’ll arrange a time that works for you.

Registration: April 2026 Women's Retreat Program

Medical history

Terms and Conditions

Program describtion and schedule

Additional preparation & integration sessions

Contact us

Join our online info session!