Sintergic Application Form1 | La Nave Espacial 8d

Sintergic Application Form

“The observer is already changing the reality.”

Full Name

Please write it exactly as it appears on your identity document for the calculation of your vibrational frequency.

Date of Birth

Month

Day

Year

Vital for life mission analysis

Selected Path

Select Desired Immersion Date

“What specific area of your reality or consciousness are you seeking to re-code or transform?”

Do you have any history of cardiovascular or psychological conditions? (Yes/No)

If yes, please provide brief details

(All information is protected by clinical confidentiality).

Is this your first deep immersion experience with psilocybin or Sintergic technology? (Yes/No)

If you have previous experience, please describe it briefly: “Mention the intensity, your reaction, and any insights. This information helps our medical team calibrate your ideal dosage for the immersion.

Dirección

WhatsApp / Phone Number