Safe Space Wellness Retreat

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Welcome and thank you for interest in the Mom's Wellness Retreat! This is a secure registration used to collect necessary travelers information to secure your booking, in addition to get to know your personal needs. At Safe Space, it is our aim to provide you with exemplary service.

Email *

HOTEL RIU VALLARTA 5* MEXICO - RIVIERA NAYARIT-VALLARTA

Please see the above link for the resort website.

Airfare is not included. Please fly into:

Licenciado Gustavo Díaz Ordaz International Airport, or PVR.

Please see prices below *

Standard Package

Deluxe Package

Payment options *

Payment plan

Paid in full

Are you interested upgrading room for an view or suite for an additional fee? *

Yes, send me the information

If you purchased the double occupancy package, please provide the full name of your roommate or enter "please assign me a roommate."
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Full Name (s) , as listed on passport
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DOB
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YYYY

Please provide your Email, Mailing address and Phone number. *

Please provide your passport information. To include passport number, date issued and date expired. *

Do you have (or plan to purchase) a travel insurance policy to cover medical emergencies?
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Yes

Emergency Contact: Full Name & telephone number
*

Is this your first international trip? *

Yes

What is your reason for wanting to participate in this wellness retreat?
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Have you been experiencing any anxiety, depression, feelings of stress or frustration ? (Your answer will not impact your registration.)
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Yes

Do you have any food allergies? *

Yes

Do you drink alcohol?
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Yes

Martial Status *

Single

Married

Divorced

What size clothing do you where? Please include Tops, bottoms, shoe size, and intimate apparel size
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What are some items you enjoy? I.e. Lotions, candles , gift cards to a specific place etc. (Please list at least 5 items)
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Are you using this retreat to relax or party?
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Relaxation

Party hard

Both

I understand I have full responsibility over any damages, altercations or violations to the resorts laws that I may cause.
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Yes

Required

I have reviewed and understand what is included in the trip package.
*

I understand what's included in the package I am purchasing

Required

I understand that I am allowing automatic payments for the pay schedule pre-selected by Safe Space.
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Yes, I understand and give permission for automatic payments

No, I did not choose this payment option

Required

I have read and I understand the refund policy for the trip.

I have read and accept the refund policy

Click to make payment *

Payment submitted with the above link for either the 150 deposit or full payment for trip

Payment already submitted through the website

Send me a copy of my responses.

Submit

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