Registration for Egypt Journey, March 16–26, 2019
This registration is for the *MARCH 16 to 26* Egypt trip only.
Full Name (Please write it exactly as written in your Passport) *
Your answer
Preferred name (or nickname)
Your answer
Date of Birth (Please make sure you are placing the MONTH first!) *
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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!
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Email address *
Your answer
Passport country of issue *
Your answer
Passport number *
Your answer
Expiration date of passport *
Please know that you must have at least two blank pages in your passport to enter the country.
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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 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 to this person; Phone Number; Email
Your answer
Food allergies (celiac, dairy, etc) / Dietary restrictions (vegetarian, vegan, avoiding gluten, etc).
Your answer
Any health conditions/allergies (food, drug, or environmental) we should be aware of? Are there any medications you will need refrigerated? Any medical devices which 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 hear about this trip? *
Your answer
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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