Bwiti House Registration Form

Application Form

Dear Applicant,
‍
🌿 The Iboga Provider Training is an 8-10 week certified course in Gabon 🌍 to host Iboga Retreats worldwide, guiding others with iboga through Firetalk 🔥, Psycho-Spiritual Journeys, Pygmy Rituals, and Counseling. This course includes 200 hours of theory and 200 hours of hands-on practice 👐, with live experience studying under Moughenda Mikala as he hosts retreats and leads Bwiti Initiations in Gabon.

Learn from Moughenda’s 30+ years of healing people globally 🌎, all rooted in the Missoko Bwiti Tradition and safety protocols 🙏. Since 2012, Moughenda has trained top Providers worldwide ✨, including Iboga Wellness Center (Costa Rica), Bwiti Healing in (Canada), Root Healing and Iboga Medicine in (Portugal).

This program is limited to 5 participants 🔥, train with me—Moughenda Mikala, 10th Gen Shaman 🍃—to master Bwiti ceremonies and start your career 🌱.
‍
1) Note: Requires prior iboga experience at Moughenda's village or with one of our 50 certified Providers 🌐.

2) Share your story; selection is competitive.

3) 🚀 Ready? Fill out the form below! 🚀

No scholarships 🚫, but payment plans and discounts are available for African American diaspora and Indigenous communities 🤝. Full payment due one month before ⏳.

See you soon 👋,
‍
Moughenda Mikala 🍃
10th Generation Missoko Bwiti Shaman
Founder of Bwiti House

When would you like to join? *

Winter Provider Training Level 1 : January, 6th - March, 2nd 2026

Spring Provider Training Level 1 : March, 6th - May, 9th 2026

Summer Provider Training Level 1 : May, 18th - Jul, 12th 2026

Autumn Provider Training Level 1 : Sep, 29th - Nov, 23th 2026

First Name*

Last Name*

Gender*

Date of birth*

Enter the date directly using your keyboard (mm/dd/yyyy)

Citizenship*

Please indicate your nationality.
e.g. American

Email address*

Phone Number*

Enter your telephone number
with country code ex: +1 415 000-0000.

City of residence*

Country of residence*

What is your story?*

🌟 We warmly invite you to embrace this opportunity—share your life story and explain how your unique value will enhance the Missoko Bwiti Tradition 🙏. Be sure to include how many languages you speak 🗣️ and where you plan to host retreats 🌍.

Job Title*

How did you hear about us ?*

If someone, referred you for this program, please add his/her name below.

Thank you! Your submission has been received!

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