Sacred Journeys, Wellness & Yoga Tours, Egypt, England, Scotland, India, Peru, Sedona, Italy, Costa Rica, Honduras

In order to submit this online registration, please fill out the following form and read and agree to the Terms and Conditions.

If your registration was submitted successfully our system will send you an email containing a copy of your registration for your records.

We take every possible step to make sure that your data is kept safe

Our registration area uses Secure Socket Layers (SSL), an advanced Internet security system, to protect the data you provide. For security purposes, all your registration information (including your name, address and credit card number) is encrypted using a protected server; as a result, your credit card and billing information is secure on its way to processing and approval.

Print Registration and Terms & Conditions Form

Please Select a Tour:

HOW DID YOU HEAR ABOUT US?

PARTICIPANT INFORMATION
Name as it appears on your passport
Title:
Given Name(s):
Surname:
Street Address:
City
Country
Province / State
Postal / Zip Code
Date of Birth (M/D/Y)
Place of Birth
Work Phone	- -
Home Phone	- -
Email Address
Please note: We require a unique email address for each person registering. Also, please make sure you enter your email address correctly as this will be the email we send your Registration Form copy to.

Passport Information
Passport Number:		Nationality:

Date of Issue (M/D/Y):		Place of Issue:

Date of Expiry (M/D/Y):		Profession:


Emergency Contact Information
Name:		Phone:

Email:

SPECIAL DIET
I require a special diet, or the following special services:
No
Yes (Please describe below)

TRAVEL INSURANCE

We strongly recommend purchasing Travel Insurance (Cancellation and Medical Insurance) to protect against cancellation fees and additional travel expenses that may incur before, after or during the trip.

For Canadians, we offer an all-inclusive travel insurance through TIC (Travel Insurance Coordinators), which includes trip cancellation, medical, and other coverage. Cancellation and Medical Insurance can also be purchased separately. Contact us for prices & policy details.

For Americans, we offer Travel Insurance Select through Travel Insurance Services at this link - http://www.travelinsure.com/what/selecthigh.asp?32963.

For citizens of other countries we offer two medical plans (not cancellation) through Travel Insurance Services at these links:

Travel to the USA - http://www.travelinsure.com/what/vusahigh.asp?32963
Travel to other countries - http://www.travelinsure.com/what/wmedhigh.asp?32963.

Please note: A Travel Insurance Waiver Form must be signed, if you do not wish to purchase insurance through us.

	Yes, I plan to purchase trip insurance through Sacred Earth Journeys and/or their agents.

	No, I decline to purchase trip insurance through Sacred Earth Journeys and/or their agents.

	I will be purchasing trip insurance through my local agent.

TOUR EXTENSION (optional)

This tour has an optional extension, entitled Amazon Extension: A Magical Jungle Experience. It will begin on the last day of the tour (Sep 25, 2011), and end on Sep 28, 2011. The additional cost for the extension is $830.00, plus $225.00 if you have chosen the Single Supplement for the tour. Would you like to register for this extension?

I would like to register for this extension.

Sacred Journeys | Wellness Travel & Yoga Retreats | Wisdom Teachings
Tour by Country | Tour by Date | Newsletter & Articles

Sacred Earth Journeys Ltd.
Tel: (604) 874-7922, Toll Free 1-877-874-7922
info@sacredearthjourneys.ca