"From the Himalayas to Your Highest Self" registration
Full Name (Please write it *exactly* as written in your Passport, including middle name) *
Your answer
Preferred name (or nickname)
Your answer
Date of Birth (Please make sure you are putting the MONTH first!) *
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Home Address (please include street address; city; state; ZIP; country) *
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Best phone number to reach you *
Just in case we need to get ahold of you more quickly than via email!
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Email address *
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Passport country of issue *
Your answer
Passport number *
Your answer
Expiration date of passport *
Important note: Your passport must have at least six months validity from the end of the trip and at least two blank pages in it.
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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.
If you are sharing a room, what is your roommate's name?
Your answer
Occupation & Interests: Please tell us more about you so we can make sure you get the most out of your time with us! We can help find little gems along the way that are in line with your interests. *
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Emergency contact information *
Name; Relationship; Phone Number; Email
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Food allergies (gluten, dairy, etc) / Dietary restrictions (vegetarian, vegan, etc)
Your answer
Do you have any health conditions and/or severe allergies (food, drug, or environmental) we should be aware of? Do you use any medications you will need refrigerated or medical devices that require electricity?
Your answer
I acknowledge that I have read about the altitude and suggested fitness requirements (in the FAQ) on the website. *
Required
How long have you been practicing yoga? Briefly describe your yoga practice.
Your answer
Any injuries or trouble spots the yoga instructor should know about?
Your answer
What are you hoping to experience on this journey? How can we help you get the most out of your time with us? *
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How did you first learn about this trip? *
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Please read and sign the Tour Contract and Liability Waiver below.
I agree to the Tour Contract and Liability Waiver *
Required
Please sign below with your digital signature which consists of your full name *
Example: John Q. Sample
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