mai ã ichi — Application

Varî-Teka Village · Amazon · Dec 2026 — Jan 2027

mai ã ichi

Noke Koî Singing Dieta & Musical Lab · Application

This space is curated, not open. Fill this form with honesty and care — it is the first act of devotion.

Your answers will be held in strict confidence.
There will be questions about your health, your intentions, and your relationship to your voice.
Please be complete and truthful — your safety and the integrity of the group depend on it.

The essentials

Basic information so we can reach you and hold your place.

Full Legal Name *

Email Address *

Date of Birth *

Phone Number * Include country and area code

Country of Birth *

Occupation *

Emergency Contact * Name · relationship · phone number (with country code)

How did you hear about this experience? * If through a specific person, please write their name

Your path of entry

Choose your experience and how you'd like to invest. Both paths include the full 10-day singing dieta and musical lab.

Which experience are you applying for? *

Singing Dieta & Musical Lab Dec 29, 2026 — Jan 7, 2027 · 10 days in Noke Koî territory ^$4,222 USD or payment plan — see below Singing Dieta & Varinawa Festival Dec 29, 2026 — Jan 12, 2027 · 15-day full journey ^$5,000 USD or payment plan — see below

Payment structure — Singing Dieta & Musical Lab * Full payment receives the lower total. Payment plans include a small uplift to cover processing and administration.

Full Payment

^$4,222 USD

One payment · lowest total

7-Month Plan

^$633 / mo

7 × $633 · Total $4,431

8-Month Plan

^$554 / mo

8 × $554 · Total $4,432
Available to early applicants accepted before end of May

Payment structure — Dieta & Varinawa Festival * Full payment receives the lower total. Payment plans include a small uplift to cover processing and administration.

Full Payment

^$5,000 USD

One payment · lowest total

7-Month Plan

^$744 / mo

7 × $744 · Total $5,208

8-Month Plan

^$651 / mo

8 × $651 · Total $5,208
Available to early applicants accepted before end of May

Your voice,
your calling

This is where we begin to meet you. Answer from the place that called you here — not from your resume.

Have you traveled to the Amazon before? * If yes — which territory, which people, what was the nature of your time there?

What is your relationship to your voice? * Where has it been silenced? Where is it wanting to emerge? This doesn't need to be about singing — it's about the voice as a portal.

What are your intentions in joining this immersion? * What is calling you here right now? What are you seeking, offering, or ready to release?

What do you feel you are here to create or express in this chapter of your life? * Your mission, your medicine, the work that lives in you — however formed or unformed it is right now.

Do you have a music or sound practice? * Instruments, voice training, production, field recording, improvisation — anything that connects you to sound as a creative language. If none, that is completely welcome too.

This is a collective creation — not a stage for individual projects. * The musical lab exists to birth something with the Noke Koî, the forest, the earth and the stars, and each other. There is no room for ego or personal agenda. How do you feel about surrendering individual creative vision to something born through the group? What does co-creation mean to you?

Is there anything else you'd like us to know about why you feel called?

Medicine experience

The immersion includes Uni (Ayahuasca), Kambô, Rapé, and Sananga. Your honesty here is essential for your safety and the safety of the group.

The medicines held in this immersion are powerful, sacred, and not recreational. Please answer each question fully and truthfully — incomplete or dishonest answers may put your health at serious risk. All information is held in strict confidence.

Is this your first time sitting with Uni (Ayahuasca)? *

Yes, first time No, I have sat before

Is this your first time sitting with Uni with the Noke Koî people? *

Yes, first time with Noke Koî No, I have sat with them before

Which other medicines have you worked with before? Select all that apply

Kambô Rapé Sananga None of the above

Have you had particularly difficult or hard-to-integrate experiences with Ayahuasca or other plant medicines? * If yes, please describe what happened and how you moved through it

Do you use any recreational drugs or stimulants? * If yes, please list them and frequency of use

Health & wellbeing

Incomplete information here can put your life at risk. Please answer every question fully and honestly — all responses are held in strict confidence.

Have you ever been diagnosed with any mental or psychological conditions? * If yes, please describe the diagnosis, when, and current status

Is there a history of psychiatric disorders in your family? * If yes, please list and describe

Are you currently in therapy or attending any support group? * If yes, what kind and for how long?

Do you have any physical conditions, injuries, or chronic health issues? *

Are you pregnant or breastfeeding? *

Yes No

Do you have diabetes? *

Yes No

Do you have asthma or breathing difficulties? *

Have you ever had a seizure or been diagnosed with epilepsy? * If yes, are you on medication? Please specify name and dosage

Do you have or have you had any addiction challenges? *

Are you currently taking any medication — including natural medicine or supplements? * Please list everything, including dosage

Do you take antidepressants or any medication for a psychiatric condition? * If yes, please specify the name and dosage — this is critical for safety with plant medicines

Do you have any allergies? * Food, environmental, or medicinal

Do you have any dietary restrictions or preferences? * Traditional Noke Koî food is provided throughout and includes animal products. We collect this information to plan as best we can.

Is there anything else about your physical or emotional state we should know? *

Declaration & consent

Please read the following carefully before signing. This is a legal declaration and a sacred agreement.

By submitting this application and signing below, I accept the conditions of participating in all sessions and I declare that I am choosing to participate of my own free will.

I declare that I will not hold the facilitators, hosts, or organizers — including Georgina Capdevila, Natural Symphony, the Noke Koî community, or any associated guides — responsible for any problem that might arise during or after the experience as a result of partaking in the medicine ceremonies and/or any other activities.

I agree to discontinue use of any pharmaceutical medicines or recreational drugs for a minimum of two weeks before the experience and to follow the full preparation protocol shared upon acceptance.

I understand the immersion includes Uni (Ayahuasca), Kambô, Rapé, and Sananga — sacred plant medicines of the Noke Koî people. I enter into relationship with these medicines with reverence, awareness, and personal responsibility.

I agree to be mindful and respectful of all rules and agreements and to not pursue, explore, or project any romantic or sexual energy, feelings, or behaviors on any participant or facilitator before, during, or immediately after ceremonies.

I understand that the facilitators and organizers reserve the right to deny my participation if necessary — for my own safety or the safety of the group. Should this occur before the experience begins, I understand I will receive a full refund. Travel and personal expenses are my own responsibility.

I further declare that I have answered all questions on this form fully and honestly and have not withheld any information I believe could be important to my safety or the safety of others.

I have read and I agree to the above declaration *

Yes — I have read, understood, and I agree to the above statement in full.

Digital Signature — Full Legal Name * By typing your full name you are digitally signing this declaration

Date of Signature *

Applications are reviewed on a rolling basis.
You will hear back within a few days of applying.
This space holds twenty women — apply if you feel the call.

Your application
has been received.

Thank you for the trust and care you brought to this form. We will sit with your words and be in touch soon.

The forest is already listening.

The music you are here to create does not come from you.
It comes through you.

mai ã ichi · Varî-Teka Village · Cruzeiro do Sul, Acre, Brazil · December 2026 — January 2027