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WORLD DOCTOR

ABOUT
EVENTS & RETREATS
WORLD DOCTOR EVENTS
UPCOMING RETREATS
EMBODYING PSYCHEDELIA
RESET RETREAT
Gold Coast - 15-17 Mar, 2024
Gold Coast - Coming Soon
Gold Coasr - March 2025
Sydney - Coming Soon
Melbourne - November 2025
Melbourne - Coming Soom
ONE DAY RESET
Gold Coast - 2025
Sydney - 2025
RESET PRACTITIONER TRAINING
Byron Bay - September 2024
Sydney - Coming Soon
Melbourne - 2025
Melbourne Coming soon
HEALTH SERVICES
PODCAST
MEDIA
CONTACT

EMBODYING PHSYCHEDELIA

Presenter Application

First name

Last name

Email

Code

Mobile Phone

Street Address

City

Region/State/Province

Postal / Zip code

Country

Date of Birth

Facebook Profile

Instagram Profile

Current Job/Profession

It is a requirement for presenters to have their own public liability insurance. If you answer NO and are invited to present you will need to obtain insurance prior to the event.

Yes

No (required if accepted)

Please upload your public liabilityinsurance in PDF format.

Upload Public Liability PDF

Upload supported file (Max 15MB)

You wil requried to sign a film and photography release form. This will be send for digital signator

Yes

Please upload your public liabilityinsurance in PDF format.

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