Pilgrimage to Ladakh 2020 Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Full Name (Please write it exactly as written in your Passport) *

Preferred name (or nickname)

Date of Birth *

Non-U.S. guests, please make sure you are following the month / date / year format.

YYYY

Home Address (please include street address; city; state; ZIP; country) *

Best phone number to reach you *

Just in case we need to get ahold of you more quickly than via email; we don't anticipate ever using this, don't worry!

Email address *

We rely solely on email to communicate about this trip, so please make sure to add us to your address book to avoid having our emails sent to your spam folder or Gmail promotions tabs.

Passport country of issue *

We will be asking for a photo or scan of your passport's information page after you are registered.

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).

YYYY

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.

I have a roommate but want separate beds

I have a roommate and will share a bed

I do not want a roommate and will pay the single supplement

I do not have a roommate but would like a roommate (though I understand if a roommate cannot be found I will have to pay the single supplement)

If you have a roommate, do you prefer one big bed or two separate beds?

1 big bed

2 separate beds

Doesn't matter

Clear selection

If you are sharing a room, what is your roommate's name?

Hobbies/Interests/Occupation; we'd love to know a little about you and this will also help us suggest activities and sites for you. *

Emergency contact information *

Please include the person's Name; Relationship to you; Phone Number; and Email

Food allergies (gluten, dairy, etc) / Dietary restrictions (vegetarian, vegan, etc)

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?

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. *

I agree.

Required

What are you hoping to experience on this RetreaTour™? How can we help you get the most out of your time with us? *

Where did you first learn about this journey? *

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. *

I agree.

Required

Please read and sign the Tour Contract and Liability Waiver below

I agree to the Tour Contract and Liability Waiver *

I agree

Required

Please sign below with your digital signature which consists of your full name *

Example: John Q. Sample

By submitting your email address, you are agreeing to join Tricycle's email community. You'll receive Tricycle's free newsletters and special offers. You can unsubscribe at any time. By signing up you agree to Tricycle's Privacy Policy. [https://tricycle.org/privacy-policy/]

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms