Registration trip to Peru

Your Name:

Date of birth:

Address:

City:

Province:

Postal Code:

Phone Number:

Email:

Do you take any medication?:

Do you have a medical condition?:

Do you have any food restriction or allergies?:

Picture of your passport:

Proof of travel insurance:

Room Occupation you desire

Rooms are either Single with extra cost, double occupation or triple occupation:

Room you wish

Single Occupancy with extra cost

Single bed double occupancy

Single bed triple occupancy

Please describe your personality, type of sleeper?:

Your emergency Contact:

If you are sharing the room with another person, what is their name: ( they will also have to submit their own form)

Language for the retreat

We offer retreats in French and English , which language do you want ot take the retreat in.

English

French

Which retreat do you wish to attend?

Grief retreat

Shamanic Retreat

12 Level of Consciousness Retreat

The 5th Dimension retreat

Payment Schedule

The entire payment is due upon signing up. We will email the address for you to send deposit after completing the form to insure we have room left and coordinate plane ticket information.

Important Trip Information

Trip begins November 2nd 2024, and ends on November 23rd 2024. Payment by etransfer due immediately. I acknowledge that I have read this registration form completely and the information I provided is accurate. I understand that my deposit is non-refunable. I understand that all monies must be paid by due date. Disclaimer: I agree to release Sonya Roy, Kristine Pel, Redu Spiritual Wellness Center, Kris and Sonya's Soul Retreat, Kris Krystal Kave from any liability in the event of unforeseen circumstances and/or changes in schedule due to weather or circumstances in Peru or your hometown, physical or mental illness, or any unforeseen events occurring during the trip dates. I understand and agree to the REGISTRATION and PAYMENT POLICIES. I understand and the terms and conditions of the waiver listed above. If you have any questions regarding this Fair, please contact Sonya Roy at Sonya@sonyaroy.com

I agree with terms and conditions:

YES

What is 5 + 5? (Please answer to prove you're human)

.

Retreat at the Kris and Sonya's Retreat in Canada.

Room Occupation you desire

Language for the retreat

Payment Schedule

Important Trip Information

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