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Medicine of the East 2026 Elemental Retreat

June 7, 2026

- With Beana Bern

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Strict Food Requirements & Allergies	Omnivore Vegetarian Vegan Gluten Free Dairy Free If you are not strictly Vegan, Gluten-Free, or Dairy free PLEASE do not check those boxes! Only indicate requirements here and feel welcome to share preferences below. Thank you!
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Rootstock Retreat Terms and Conditions *	Check this box if you have read and understand the Rootstock Retreat Terms and ConditionsBy checking this box and typing my name in the field below, I attest that I have read and understand all of the above written medical information and have openly disclosed all requested health and medical facts. I attest that the information provided above is true and complete, to the best of my knowledge. I understand that falsifying or omitting any relevant information may be grounds for denying my attendance at the retreat for which I am applying, or denying me access to psilocybin mushrooms while on the retreat, with or without a refund, at the sole discretion of Rootstock Retreat. I hereby waive, release and hold harmless Rootstock Retreat from any and all liability or responsibility for all injuries and/or damages or claims which may occur in the event I do attend the retreat. By checking this box and typing my name in the field below, I understand that if I choose to attend a Rootstock Retreat without tapering off my medications that there is a significant chance that my experience with psilocybin mushrooms will be reduced. I also understand that I should not make any changes to my use of prescribed psychiatric medications until I have consulted with a licensed medical professional. I agree to review all emails and attachments that are sent to me by Rootstock Retreat as they will contain important information regarding my scheduled retreat. I also agree that I am submitting this application on my own behalf, that all information included is in regards to my own personal information, and that I am not submitting this application on behalf of anybody else.
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$	Rootstock Medicine Retreat Scholarship Fund Help us keep this powerful and effective healing modality available to everybody who needs it. Donations made to this fund will ensure that Rootstock is able to welcome the people here who will be best served by this work, regardless of their means. Thank you so much for sharing your healing and supporting our mission to serve.