Apply | The Sacred Union Experience & Ritual

About You

Your Names

Email Address

How long have you been together?

What brought you here? What is going on between you right now that made you reach out?

On a scale of 1 to 10, how connected do you feel to your partner right now?

Medicine Experience

Have you ever experienced plant medicine or psychedelics before? If yes, what kind? Tell us a little about how it went.

Have you had a bad experience on psychedelics? If so, what happened? Have you had any allergic or harsh reactions?

Health & Wellbeing

Have you been diagnosed with any mental illness, bipolar disorder, or similar? If so, when?

Are you currently being treated by a therapist, counselor, or doctor?

Yes No

What medications are you currently taking? Please list everything, including supplements.

Do you have any allergies or known reactions we should be aware of?

Your Intentions

What does your ideal outcome look like? How will you know this worked?

Is there anything you are afraid of or nervous about?

How did you hear about The Sacred Union?

Are you both equally willing and ready to participate? Or is one of you more hesitant?

Anything else you want us to know before we connect?

Only Rachelle and Avi read this. It stays between us.

Begin Here.We Are Listening.