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Registration

(in waitlist category)

Any amount deposit in waitlist category is fully refundable if the spot is not confirmed due to no cancellations.

First Name *

Last Name *

Email Address *

Phone Number *

EMERGENCY CONTACT FULL NAME *

EMERGENCY CONTACT EMAIL ID *

EMERGENCY CONTACT PHONE NUMBER *

Any food requirements? *VeganGluten FreeVegan and Gluten FreeNut allergyNoneAny other allergies (write in the section below)

Please specify if you have any allergies that are not listed above

How did you hear about the trip? *Social MediaWord of MouthMet the TwinsOther

Please share the name of the person who referred you.

Why are you interested in taking this trip? *0 / 180

Preferred Payment Method *PaypalZelleVenmo

Select Number of Participants *1 Participant – $250 USD2 Participants – $500 USD3 Participants – $750 USD4 Participants – $1,000 USD

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“Travel not to escape life, but to return to your true self.”

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+1-614-226-2045
getshivani@gmail.com
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