Apply — 2027 Ayahuasca Dieta

Dieta application

Apply for the 2027 Dieta.

Complete all 11 questions, then review your answers before submitting.

EmailRequired

Name as it appears on your passportRequired

Passport Expiration DateRequired

AgeRequired

Cell NumberRequired

Confirm number is correct. Add Country code with + if outside the United States (**must use Whatsapp for international numbers)

In which city/state & country do you live?Required

Why do you want to do this Dieta? Required

Describe your previous ayahuasca journeys or dieta in 3 sentences or less.Required

Are you physically capable of hiking for 4-5 hours continuously?Required

List your prescription medicationsRequired

How did you hear about this Dieta?Required

Privacy & application consent

Your application includes personal and sensitive information, including passport-expiration, medication, health, and plant-medicine responses. ALT Unlimited uses this information only to review eligibility, support applicant safety, and administer the Dieta application. It is stored in ALT Unlimited's Airtable workspace and is not used for marketing.

I consent to having this application securely submitted to ALT Unlimited's retreat team through Airtable for application review. I understand that my responses include sensitive identity, health, medication, and plant-medicine information and will be accessed only by authorized program personnel for eligibility, safety, and application administration. Required

No payment is collected at this step.