Pilgrimage to Sri Lanka with Andrew Olendzki & Tricycle, January 2024

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Full Name (Please write your name exactly as written in your passport) *

Preferred name (or nickname)

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.

Mailing Address (please include street address; city; state; ZIP; and country if outside the United States) *

Best phone number to reach you *

Just in case we need to get ahold of you more quickly than via email only in an emergency.

Do you currently use WhatsApp? *

We use the free communication app WhatsApp before and during the tour to communicate updates and the schedule, as well as share photos and videos.

Yes

Not yet, but I will download it before the journey.

Date of Birth *

YYYY

Passport country of issue *

Expiration date of passport *

Please make sure you are entering the date as MONTH/DAY/YEAR (not day/month/year).

YYYY

I will have at last two empty pages in my passport when I depart for this trip.
*

Yes

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 connect you to other guests also looking for a roommate. 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 private room supplement supplement

I would like you to assign me a roommate, but I will still join even if I do not have a roommate (I understand if a roommate cannot be found I will have to pay the private room supplement)

I will *only* join if you can provide a roommate for me.

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, their relationship to you, their phone number, and their email. Make sure they're not on this journey with you, please!

Food allergies (gluten, dairy, etc) / Dietary restrictions (vegetarian, pescatarian, 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 (e.g., a CPAP machine)?

I understand that I must provide proof of a COVID-19 vaccination and booster to register for this journey. *

Yes.

I have read the Suggested Fitness Requirements on the website.
*

Yes.

Do you have any mobility challenges we should be aware of? The more we know, the better we can make this journey for you!

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. *

Yes

Please briefly describe your meditation practice, if you have one.

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

Please read and sign the Tour Contract and Liability Waiver below. You can download a copy of this contract for your records at http://bit.ly/retreatourscontract2021

I agree to the Tour Contract and Liability Waivers above. *

I agree

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