Registration Form for Insight Travels/RetreaTours™
Which trip are you registering for? *
Your answer
Full Name (as written in Passport) *
Your answer
Date of Birth *
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Expiry date of passport *
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DD
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YYYY
Preferred name (or nickname)
Your answer
Home Address *
Your answer
Best phone number to reach you *
Just in case we need to get ahold of you more quickly than via email!
Your answer
Passport number and country of issue *
Your answer
Will you have a single room or a shared room on this trip? *
If you are willing to share but don't have a roommate already, we can let you know if others are in a similar situation. However, we can't guarantee that you will have a roommate!
Required
If you are sharing a room, what is your roommates name?
Your answer
Will you and your roommate require 2 separate beds?
Hobbies/Interests/Occupation; we'd love to know a little about you and this will also help us suggest activities and sites for you. *
If you are attending a Bali/Lombok retreat, please let us know if you are a diver.
Your answer
Emergency contact information *
Name; Relationship; Phone Number; Email
Your answer
Food allergies (gluten, dairy, etc) / Dietary restrictions (vegetarian, vegan, etc)
Your answer
Any health conditions/allergies (food, drug, or environmental) we should be aware of?
Your answer
[For yoga retreats] How long have you been practicing yoga? Briefly describe your yoga practice. *
Your answer
[For yoga retreats] Any injuries or trouble spots the yoga instructor should know about?
Your answer
What are you hoping to experience on this RetreaTour™? How can we help you get the most out of your time with us? *
Your answer
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