Registration Form | Key Peninsula Psyche

First name

Last name

Email

Emergency Contact Information

I understand that KPPS's Integration Circles are community directed and are not a replacement for appropriate therapy or medical interventions.

Yes

No

What does psychedelic integration mean to you?

Have you attended an integration circle before?

Yes

No

What do you hope to get out of attending an integration circle?

Do you have a psychedelic experience you are hoping to work through at this circle?

Yes

No

Do you agree to the disclaimer and liability statement (found in the description of the event)

I agree to the terms

I do not agree (I understand I cannot attend unless I agree to the terms)

Add your details