Pilgrimage Around the Buddhist World 2020 Registration Questions and Contract
Full Name (Please write it *exactly* as written in your passport in this order: first name, middle name, last name) *
Your answer
Preferred name or nickname
Your answer
Date of Birth *
Non-U.S. friends—please remember to put it in Month-Day-Year format!
MM
/
DD
/
YYYY
Complete home address (please include street address; city; state; ZIP; and 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 foresee ever having to use this, don't worry!
Your answer
Preferred email address *
We use email as our primary means of communication, so please give us your best email address. Also, it would be best if you added us to your email address book, to ensure none of our communications end up in your spam folder.
Your answer
Passport country of issue *
We'll be asking for a photo or scan of your passport after you are registered.
Your answer
Expiration date of passport *
MM
/
DD
/
YYYY
I acknowledge I must have at least 8 blank pages in my passport at the start of this journey and passport validity until June 2021. *
Required
Would you like 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 connect you with another guest desiring a roommate. However, we can't guarantee that you will have a roommate.
If you are sharing a room, what is your roommate's name?
Your answer
Occupation & Interests: Please tell us more about you so we can make sure you get the most out of your time with us! We can help find little gems along the way that are in line with your interests. *
Your answer
Emergency contact information *
Please list this person's name; their relationship to you; their phone number; and their email.
Your answer
Food allergies (gluten, dairy, etc) / Dietary restrictions (vegetarian, vegan, etc).
Your answer
Do you have any health conditions and/or severe allergies (food, drug, or environmental) we should be aware of? Do you use any medications you will need refrigerated or have any medical devices that require electricity?
Please note if any of your allergies induce anaphylaxis.
Your answer
I acknowledge that I have read the travel insurance requirements on the trip website and will secure the required insurance. *
Required
What are you hoping to experience on this Pilgrimage around the Buddhist World? How can we help you get the most out of this experience?
Your answer
I acknowledge I have read the suggested Fitness Requirements for this journey on the website. *
Required
Where did you first hear about this trip? *
Your answer
Please read and sign the Tour Contract and Liability Waiver below (You can download a PDF copy for your records here: http://bit.ly/PATBWcontract2020 )
Checking the box below along with your digital signature indicates acknowledgment and agreement of this contract/liability waiver.
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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