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

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

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

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:

Do you prefer Red or White wine? *

Red

White

All the wine for me, thanks!

No wine for me, thank you!

Other:

What is your T-shirt size? *

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:

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

1 Payment of the remaining balance to be paid by 12/31/21

50% of the remaining balance to be paid by 12/31 and the remaining balance paid 3/18

I've already paid in full!

Other:

What is your chosen payment method? *

Credit Card (3% processing fee added to the total amount due)

Bank Transfer

PayPal (3% processing fee added to the total amount due)

Check (payable to LinCo Unlimited LLC)

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) *

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