New Mexico HEART Trip Registration Form
Email address *
Email address that you regularly check. We MUST have an email address that you check regularly or you will miss important information and invoices. *
Your answer
First and last names of adult travelers AND relationship--parent, grandparent, etc. (Please list-on the top line-the person who is in charge of planning this trip for your family.) *
Your answer
Names and ages of children: *
Your answer
Do all of the school-age children who are attending this trip currently homeschool? If not, please explain. *
Your answer
Please copy and paste the url of your Facebook page so we can find you on Facebook. (Once you pay your deposit, we will send you a friend request and add you to the private Facebook group for those who are attending this trip.) You may include the Facebook url for all adults or just for the adult who's in charge of the details for your family. If you don't have a Facebook account, you may want to sign up for one since we do most of our communication through Facebook. Otherwise, you will miss important information. *
Your answer
Cell phone number for each adult traveler. (We assume you have the ability to receive texts unless you tell us otherwise.) *
Your answer
Mailing address (street and house or apartment number) *
Your answer
Mailing address (name of city) *
Your answer
Mailing address (state) *
Your answer
Food allergies? *
If you or anyone traveling with you has a food allergy, please list each person and what he/she is allergic to.
Your answer
How many nights do you need to reserve? (Our trip is 4 days and 3 nights, but you can add another night or two.) *
How did you find out about us/our trip? *
Your answer
Have you traveled with us before? If so, please tell us which trip(s) you attended with us. *
Your answer
Next step
We will send you an invoice for the $250 deposit using the email address you provide on this form. It is non-refundable.
Prices Without Add-ons

2 attendees: $1550.00
3 attendees: $2325.00
4 attendees: $3100.00
5 attendees: $3875.00
6 attendees: $4650.00
7 attendees: $5425.00
8 attendees: $6200.00
A copy of your responses will be emailed to the address you provided.
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