AdZENtures Retreat Info
This is a confidential form created for the sole purpose of providing information that will allow us to better customize your Experiential 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!
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What is your preferred name? *
What is your email? *
Please provide a good number where we can reach you while in Hawaii.  *
Emergency Contact and Information *
Why did you book this AdZENture?  *
Required
What is your mailing address? *
When is your birthday? *
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What is your preferred pronoun? *
Did you book a private room or shared? *
If you are in a shared room, do you have a preferred roommate? If so, please list the name of the guest below
List any food allergies or dietary restrictions. *
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 or have you had any of the following. Please tick any that apply (this information is confidential and will not be shared).

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Required
If you checked any of the above items, please explain a bit more about each one and anything your guides should know regarding the selections.  *
Do you have any other medical issues or injuries that we need to know about? If yes, please give us more details.
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Do you have any concerns about your upcoming AdZENture?  *
Have you filled out the liability waiver?  *
Do you drink alcohol? *
Do you prefer Red or White wine? Beer? Please let us know what you prefer! *
What is your chosen payment method? *
What is your T-shirt size? *
What is your shoe size? *
What is your head size? (measurements in cm) *
Do you have any aversions to scents? Please list if answer is 'yes'
Do you get motion sickness? *
Can you swim? *
Do you hike? *
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!) *
Travel insurance is a requirement for this AdZENture. Please list your travel insurance or medical insurance info here. (If you're looking for suggestions or inexpensive options that cover the basics, feel free to reach out to Lindsey).  *
How would you like to submit payments for your AdZENture? *
Do you have any information you'd like us to know?! *
Your consent

Please confirm that you have read, understood and answered all the questions to the best of your knowledge.

I agree to undertake the yoga classes and other activities on my AdZENture. I have declared any allergy and aversions to food. I obtained appropriate medical advice and or consent for any health condition that has been mentioned above and have disclosed all information relevant to my retreat.

I acknowledge that AdZENtures is not responsible for any harm caused to me for any medical conditions/allergies not declared or where I have not followed appropriate advice.

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Provide your electronic signature. *
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