enJOY Wellness Retreat Registration
Please carefully read and complete the information below. Your responses will be kept confidential and reviewed by the the group leader who will then reach out to you for a phone call to make sure that this is truly the experience that’s right for you. Our group specialist will follow up with you in the order received.
Sign in to Google to save your progress. Learn more
Email *
Presale Code (Registration is open by special invitation through Jan 16, 2022 and opens to the general public Jan 17, 2022. *
Full Name *
Date of Birth *
Address *
Phone Number
Preferred Room Category (all rooms are single occupancy with a king bed) *
Would you like to add additional nights before or after the event? Event dates are Oct 14-17. (check dates you would prefer to add) Additional nights are $250/night for Premium Ocean View and $350/night for Premium Swim Up
How did you hear about this event? *
Will you need a quote for airfare? *
Required
If airfare is needed, please note what airport, and if you prefer economy or business class.
Do you have special needs, restrictions, or requirements of which we should be aware?
Do you have dietary restrictions of which we should be aware? (please specify)
Have you ever received treatment for a mental health or substance abuse concern?
Clear selection
I understand that Luxury Travel PhD will confirm the total cost of attendance and that I must submit a credit card authorization for a $200.00 registration fee.  After the deposit is authorized,  I will have a brief phone call with Joy Robbins, the group leader, who will extend the final invitation for the Retreat and my credit card will then be charged. The registration fee is nonrefundable after it is charged. Do not purchase flights until your registration has been confirmed. Travel insurance is highly recommended and will be offered by Luxury Travel PhD. Please type your name and "AGREED" *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of luxurytravelphd. Report Abuse