AdZENtures Retreat Info

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This is a confidential form created for the sole purpose of providing information that will allow us to better customize your Experiental Travel Retreat with AdZENtures. If you feel uncomfortable with any of the questions below or have any questions for us, please don't hesitate to contact Lindsey directly!

What is your full name? *

What is your preferred name? *

Emergency Contact and Information *

What is your mailing address? *

When is your birthday? *

YYYY

List any allergies or dietary restrictions. *

If you have allergies, do you carry an Epipen? *

Yes

Does not apply

List strong food preferences (ex. I DO NOT eat pineapple...not allergic, just don't like it) IMPORTANT: If you list food preferences, YOUR meals will be made to suit your preferences. If you typically don't eat meat but you're willing to try it if it's local/organic, please note that so we can plan accordingly.

Do you have any notable health issues, recent surgeries or injuries? (If yes, please list) *

Have you filled out the liability waiver? https://waiver.smartwaiver.com/v/yucatan/ *

Not yet, I will do that now before moving on to the next question

Yes, I have signed the liability waiver!

Do you drink alcohol? *

Yes

A little

Would rather not say

Other:

If you do drink, what is your alcohol of choice? *

What is your T-shirt size? *

What is your hat size? (measurements in cm) *

Option 1

Do you have any aversions to scents? Please list if answer is 'yes'

Do you get motion sickness? *

Yes

Maybe

Other:

Can you swim? *

Yes

Maybe

Other:

Do you hike? *

Yes

Maybe

Other:

Are you claustrophobic? *

Yes

Maybe

Other:

How would you like to submit payments for your AdZENture? *

1 Payment of the remaining balance to be paid 60 days before the start of the retreat

50% of my remaining balance to be paid 120 days before the retreat, the rest 60 days before

I've sorted out another payment option with AdZENtures!

Other:

What is your chosen payment method? *

Credit Card

Bank Transfer

Other:

Have you confirmed your flight details with AdZENtures? (Please do so before booking...even if you haven't booked yet, please verify airport pickup/dropoff dates and times!) *

Do you have travel insurance? If yes, please list your details below. (high recommended) *

Do you have any information you'd like us to know?! *

Submit

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