Treat, Spay, Love in Ladakh 2019 Registration
Full Name (Please write it exactly as written in your Passport) *
Please include your middle name if it is on your passport. Your answer here must match your passport perfectly!
Your answer
Preferred name (or nickname)
Your answer
Date of Birth *
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Home Address (please include street address; city; state; ZIP; country) *
Your answer
Best phone number to reach you *
Just in case we need to get ahold of you more quickly than via email! Don't worry—we don't anticipate every needing to use this :)
Your answer
Email address *
This is our primary way of contacting you with trip details, so please give us your best email address.
Your answer
Passport country of issue *
Your answer
Passport number *
Your answer
Expiration date of passport *
*Please know that to enter most countries a passport must have at least six months validity and at least two blank pages *Please make sure you are entering the date as MONTH/DAY/YEAR (not day/month/year).
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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 have a roommate, do you prefer one big bed or two separate beds?
If you are sharing a room, what is your roommate's name?
Your answer
Hobbies/Interests/Occupation; we'd love to know a little about you and this will also help us suggest activities, sites, and volunteer services for you. *
Your answer
Do you have any inspiration right now as to how you'd like to volunteer your services in Ladakh? (Don't worry if not!)
Your answer
Emergency contact information *
Please include the name; your relationship; the phone number; and the email address of your emergency contact.
Your answer
Food allergies (gluten, dairy, etc) / Dietary restrictions (vegetarian, vegan, etc)
Please note that our hotel restaurant is 100% vegetarian.
Your answer
Any health conditions/allergies (food, drug, or environmental) we should be aware of? Are there any medications you will need refrigerated or medical devices that require electricity?
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
Where did you first learn about this journey? *
Your answer
I am aware of the high altitude nature of this trip and have read through the provided material on the website regarding altitude. I understand it is my responsibility to work with my physician to ensure my fitness for this trip. *
Required
I have read the section of the website titled "About Volunteering with Dogs on this Journey" and I understand the inherent possibility of risk when working with animals. *
Required
I understand that Travel Insurance is mandatory on this journey and I will provide RetreaTours with my policy name/number before the start of this trip. *
Required
Please read and sign the Tour Contract and Liability Waiver below
You can download a copy of this contract for your records at http://bit.ly/TreatSpayLove
I agree to the Tour Contract and Liability Waiver *
Required
For Veterinarians only: What state(s) are you licensed in? Are you able and willing to perform sterilizations during this trip?
Your answer
Please sign below with your digital signature which consists of your full name *
Example: John Q. Sample
Your answer
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