View of the lake at the Onikano Ayahuasca retreat – Peru

RETREAT APPLICATION FORM

THE FIRST STEP OF YOUR JOURNEY

If you would like to participate in an Ayahuasca retreat at Onikano, please begin by completing the Retreat Application Form below. This application helps us understand your current situation, intentions and needs, so we can determine whether Onikano is the right place for you at this time and whether we can support you safely and responsibly.

For this reason, we kindly ask you to answer a series of personal questions related to your physical, emotional and mental health with complete honesty. Some of these questions may feel sensitive or intense; however, your openness allows us to care for you responsibly and to assess whether participation in ceremonies and other activities at Onikano is appropriate for you. The information you provide also helps Maestro Niwen Koshi (Heberto García) understand your situation and determine the most suitable treatment approach for your process.

Please rest assured that all information shared in this form is treated with strict confidentiality and is reviewed only by trusted members of our team who are trained to handle it with care and discretion.

As this questionnaire is personal, each participant must complete their own Retreat Application Form, even when attending the retreat together with others. Once we have reviewed your application, we will inform you whether you may proceed with the booking or if additional information is required. You can expect to receive our response within 48 hours. If you do not hear from us within this time, please check your spam folder or feel free to contact us by email.

Please note that this application remains valid for up to six months. If you have previously attended one of our retreats, please complete a new application for each subsequent stay, so that your current intentions and circumstances can be properly considered.

When you are ready, please take your time to complete this application with clarity, presence and honesty. Most guests need around 10–15 minutes.

We look forward to receiving your application and learning more about your intentions.

Personal Information

First name *

Last name *

Date of birth *

Current occupation or main activity *

Email address *

Phone number with country code *

Address *

City *

Postal code *

Country *

Emergency contact: full name, phone number, email address, and relationship to you *

Experience & Intentions

We invite you to take a moment to reflect on your experiences and the intentions you bring to this retreat.

Do you speak Spanish? *
(This information allows us to ensure appropriate language support during your retreat.)
I don't speak SpanishBasic (need translation)Intermediate (able to communicate independently)Fluent (advanced)

How did you first hear about Onikano, and what resonated with you?
(For example: a friend, review platform, social media, or someone who attended a retreat.)

Have you attended a retreat at Onikano before?
If yes, when? (Approximate dates are fine.)

Which retreat option are you interested in, and when are you planning to come?
(Please note that all our retreats start on Monday and end on Sunday.)

Have you worked with Ayahuasca before?
If yes, please briefly describe your experience.

Have you had experiences with other psychedelic substances?
If yes, please indicate which substances and approximately how many times you have worked with them.

How would you describe these experiences overall? Were they generally positive, challenging, or mixed?
If you experienced any particularly difficult moments, you may briefly describe them and let us know how you integrated or worked through them.

What draws you to working with Ayahuasca and San Pedro, and how do you feel this work can support you on your path?

Please take a moment to reflect deeply on your intentions for this retreat.
Kindly note that the Maestro uses your shared intentions to develop a supportive treatment tailored to your needs. The more openly you can share, the better we can support your process.
Describe the main areas of your life you would like to work on during this retreat. What meaningful changes or insights are you seeking?

Are you interested in exploring Shamanic Dieta & Training at Onikano, either now or in the future?
If yes, please briefly share what draws you to this path.

Health & Safety

These questions are confidential and help us ensure your safety and well-being during the retreat. You’re welcome to share as much detail as you feel comfortable with.
We appreciate honest and open responses.

General Health Overview

Please describe any significant physical or mental health conditions you are currently experiencing or have experienced in the past, including major accidents, hospitalisations, or surgeries.

Have you ever been diagnosed with, or experienced, any of the following medical or psychological conditions?
(Please check all that apply — past or present.)
Cardiovascular conditions (e.g. heart attack, heart surgery, palpitations)High blood pressureAsthmaObesityDiabetesLiver or kidney conditionsGlaucomaInfectionsContagious diseasesEpilepsyCancer (past or current)DepressionAnxietyADHD (Attention Deficit Hyperactivity Disorder)PTSD (Post-Traumatic Stress Disorder)OCD (Obsessive-Compulsive Disorder)Other

Please provide additional details about any item checked in the previous list.

Mental & Emotional Health

Are you currently experiencing a challenging period in your life?

Has a licensed health professional ever diagnosed you with a mental health condition (at any point in your life)?
If yes, please specify the diagnosis, approximate dates, and whether the condition is currently active or well managed.

Have you ever experienced or been diagnosed with psychosis, mania, schizophrenia, bipolar disorder, or related conditions?
If yes, please indicate when this occurred and whether you currently have support.

Have you ever experienced suicidal thoughts or attempted suicide, whether recently or in the past?

Does any close family member (parent or sibling) have a history of mental health disorders, particularly psychosis, schizophrenia, or bipolar disorder?

Are you currently undergoing psychological or psychiatric treatment, or receiving any form of therapy?

Medications & Substances

Are you currently taking any prescription medications, or over-the-counter medications on a regular basis?
Please list the name, dosage, and how long you have been taking each medication.

Are you currently taking, or have you recently taken, any psychiatric medications (e.g. antidepressants, antipsychotics, mood stabilisers, benzodiazepines)?
Please specify the medication(s), dosage, and whether you are taking an SSRI (selective serotonin reuptake inhibitor) or MAOI (monoamine oxidase inhibitor).

Do you have a history of addiction or compulsive behaviours (e.g. drugs, alcohol, nicotine, prescription medications, pornography, gambling, food, technology, etc.)?
If yes, please describe the substance(s) or behaviour(s), approximate timeframe, and whether you are currently in recovery.

How often do you currently consume alcohol?

Have you used any psychoactive substances within the past 3 months (e.g. alcohol, cannabis, MDMA, cocaine, psilocybin, or other plant medicines)?
If yes, please specify what and how frequently.

Allergies & Practical Considerations

Do you have any allergies (medications, food, insects, plants, etc.)?

Do you have any specific phobias (darkness, insects, animals, etc.)?

Do you have any dietary restrictions (vegetarian, vegan, coeliac, lactose intolerant, etc.)?

Are you currently taking any homeopathic medicine, supplements, or similar products?

Are you currently pregnant, or do you suspect that you might be?

Preparation & Readiness

The following questions help us better understand your preparation and readiness for this retreat.

Do you understand and accept that participation in this retreat may involve profound and sometimes intense emotional, psychological, and spiritual processes — including challenging experiences during the retreat and during the integration period that follows? *
Yes, I take full responsibility for my own preparation, emotional readiness, and process.No, I do not yet feel ready to fully accept these aspects of the process.

Are you prepared to follow the dietary guidelines required for the retreat? *
(Including restrictions on salt, sugar, caffeine, spices, dairy, red meat, pork, and processed foods)
YesNo

Do you understand that during the retreat you must abstain from all sexual activity, including masturbation? *
(These guidelines support nervous system safety and are part of the ceremonial container.)
YesNo

Integration is an important part of the process. Healing with plant medicines often requires time, commitment, and continued personal work after the retreat.
What kind of support system do you have in place to help you integrate the experience after the retreat? (for example: therapist, spiritual practice, supportive partner, or community)

Logistics & Additional Info

The following questions help us ensure your comfort and practical well-being during your stay.

What type of accommodation would you prefer? *
(Private bungalows are the standard at Onikano. Shared bungalows can be arranged for those attending with a friend, partner, or family member.)
Private (by default)Shared (upon request)

Our bungalows are located in different areas of the retreat. Which location would you prefer? *
(Please note: assignments are based on availability and arrival order, but we will do our best to honour your preference.)
Closer to the common areas, with easy access to shared spacesMore secluded, immersed in the jungle and surrounded by natureNo strong preference

Is there anything important you feel we should know that has not been covered above, and that may affect your safety, comfort, or experience during the retreat?
(Recent life changes, concerns, sensitivities, or anything you feel is relevant for your stay.)

Selfie Upload

Please upload a recent photo that clearly shows your face. *
A simple phone selfie works perfectly fine (max. 5 MB).
This image is used only for internal identification and security purposes during your stay at Onikano. It will never be shared publicly.

Consent

By submitting this form, I confirm the following:
• I have read and accepted Onikano's Terms and Conditions.
• I have read Onikano's Privacy Policy.
• I confirm that the information provided in this application is accurate and that I have disclosed all relevant medical and psychological conditions. I understand that withholding important information may affect my safety during the retreat.
• I release Onikano from any liability for health issues that may arise during or after the retreat and that are related to medical or psychological conditions not disclosed in this application.

I have read, understood, and agree to all of the above. *

Thank you for taking the time to complete this form. We appreciate the care and honesty this process requires.
We will review your application within 48 hours, and you'll receive the next steps by email.
In the meantime, we invite you to review our Frequently Asked Questions, which cover many practical aspects of the retreat, preparation, travel, and more.