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ONLINE REGISTRATION FORM
Last Name
*
Your answer
First Name
*
Your answer
Phone Number
*
Your answer
EMail Address
*
(will be preferred mode of communication)
Your answer
Locality (Town/Village)
*
Your answer
Age
*
Your answer
Male/Female:
*
Male
Female
If under 18 yrs of age, please provide name and mobile number of Responsible Party:
Your answer
Day 1 Travel Preference:
*
The programme on Saturday 24th August involves a trek along the South Coast and the meeting point will be L'Escalier. Please indicate your option here for arrangements to made on our side.
I will travel DIRECTLY on my own to L'Escalier to join the shuttle at 8.45am for the trek start. (Exact Costs and details will be communicated by email)
I will catch COMMON transportation at 8.00am from Beau-Bassin Ashram. (Exact Costs and details will be communicated by email)
Stay Overnight Option:
*
The Camp is Non-Residential but there are limited options (on a first-come first-served basis) for staying over at our Beau-Bassin Ashram on Saturday 24th August night. Would you like to stay overnight?
Yes
No
Any specific remarks?
Please briefly enter any specific points you may wish us to take note.
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