"A Journey Home" Registration
Full Name (Please write it EXACTLY as written in your Passport) *
Your answer
Preferred name (or nickname)
Your answer
Date of Birth *
Month / Day / Year format, please!
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Home Address (please include street address; city; state; ZIP code) *
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 never anticipate using this.
Your answer
Email address *
All of our correspondence is via email, so please give us your best email address.
Your answer
Passport country of issue *
We will also be asking for a photo of your passport's information page, so you may wish to go ahead and snap a photo of it now and send it along to Lauren@RetreaTours.com.
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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DD
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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. *
Your answer
Emergency contact information *
Please include Name; Relationship; Phone Number; Email
Your answer
Food allergies & Dietary restrictions (gluten, dairy, vegetarian, vegan, etc.) Please specify if any allergies that are severe enough to require medical intervention.
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 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
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
Your answer
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