REGISTRATION Please fill out the registration form below and pay your deposit in order to hold your spot on this journey. Name * First Name Last Name Email * Phone No. * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Name (as it appears on your passport) * Please enter first and middle name. First Name Last Name Passport No. * Passport Expiration Date * MM DD YYYY Emergency Contact * First Name Last Name Emergency Phone No. * Single or Double Occupancy? * Please note single occupancy is subject to availability. Double Occupancy Single Occupancy (+$1,500) Roomate Preference If you know someone you would like to room with, please include their name here. If not, we will be happy to pair you with someone on the journey who would be a good fit. Roomate Preferences Please list here any things to take into consideration when selecting a roomate. For example: light sleeper, whether you snore, if you enjoy talking sometimes or you prefer silence, etc. Travel Insurance We strongly recommend purchasing travel insurance in order to protect you in case of cancellation, illness, lost luggage or other issues that may arrise. Yes, I plan to purchase travel insurance No, I don't plan to purchase travel insurance. Thank you! Registration Form