Stone path through a garden leading to an open wooden gate

Membership Application

Thank you for your interest in joining Earth Connection Community. Please complete the application below and we will be in touch.

Personal Information

First Name *

Last Name *

Email Address *

Phone Number

City *

State *

Spiritual Background

Tell us about your spiritual background and practices. *

What traditions, practices, or teachings have shaped your spiritual journey?

Do you have any experience with sacred plant medicine traditions?

If so, please briefly describe your experience. If not, that is perfectly fine — all sincere seekers are welcome.

Why do you feel called to join Earth Connection Community? *

What draws you to our community and the Shipibo-Konibo tradition?

How did you hear about us?

Values Affirmation

Earth Connection Community is grounded in the following core values. Please confirm that you resonate with these principles.

Sacred Reciprocity — Honoring the give-and-take relationship between humans, nature, and the divine.

Reverence for All Life — Approaching all beings and the natural world with deep respect and care.

Integrity — Walking our path with honesty, humility, and accountability.

Ecological Stewardship — Caring for the Earth as a sacred responsibility.

Community — Supporting one another in healing, growth, and collective well-being.

I have read and resonate with the core values of Earth Connection Community. I understand that membership involves a commitment to these shared principles. *

Anything else you would like us to know?

By submitting this application, you agree to our Privacy Policy. Your information will only be used for processing your membership application and will not be shared with third parties.