Pilgrimage to Ladakh 2020 Registration
Full Name (Please write it exactly as written in your Passport) *
Your answer
Preferred name (or nickname)
Your answer
Date of Birth *
Non-U.S. guests, please make sure you are following the month / date / year format.
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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; we don't anticipate ever using this, don't worry!
Your answer
Email address *
We rely solely on email to communicate about this trip, so please make sure to add us to your address book to avoid having our emails sent to your spam folder or Gmail promotions tabs.
Your answer
Passport country of issue *
We will be asking for a photo or scan of your passport's information page after you are registered.
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 and sites for you. *
Your answer
Emergency contact information *
Please include the person's Name; Relationship to you; Phone Number; and 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? Are there any medications you will need refrigerated or medical devices that require electricity?
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
What are you hoping to experience on this RetreaTourâ„¢? 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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