"Lightness of Being in Ladakh" Registration 2019
Full Name (Please write it exactly as written in your Passport) *
Your answer
Preferred name (or nickname)
Your answer
Date of Birth *
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Home Address (please include street address; city; state; ZIP; country) *
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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.
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Email address *
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Passport country of issue *
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Passport number *
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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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 what is an allergy and what is a preference.
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 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
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