Group Microdosing Coaching Interest Form

Thank you for your interest in joining a Pine & Prism group journey. This is a sacred and collaborative space, and I want to make sure it feels aligned and supportive for everyone involved. Please take a few minutes to share a bit about yourself and what’s calling you to this work. There’s no pressure — just curiosity and connection.

Name

First Name

Last Name

Where are you located? (City, State, or Country if outside the U.S.)

Are you interested in:

What's drawing you to microdosing and group work right now?

Have you worked with psilocybin before?

What would you hope to receive or explore through this experience?

Is there anything you'd like me to know about current emotional, physical, or spiritual state?

Would you like to be added to the email list to hear when registration opens?

Yes, please!

Not right now

After you submit your form, I’ll be in touch to schedule a free connection call. We’ll talk more about the container, answer any questions you have, and feel into whether it’s the right time and fit.