REGISTRATION FORM
(516) 672-9336
Hot Springs, AR
Crystal Kingdom Wisdom
Fall Equinox 2016
September 19th – 24th, 2016
_____ Double occupancy USD $1,850 _____Single occupancy USD $2,350
NAME: ______
ADDRESS: ______
TELEPHONE #:______CELL PHONE #:______
E-MAIL: ______
ACCOMMODATION:
___Double accommodation
Name of roommate if you are traveling with someone: ______
Do you want us to help you find a roommate? ___yes ___no
(If a roommate is not available you will need to pay the single supplement of $500USD)
__Single accommodation
PAYMENT OPTIONS:
___Bank transfer to CitiBank___*PayPal – No fee if full amount is paid all at once.
*Please note that if you choose to pay in installments via PayPal, an additional 3% charge will be incurred.
SPECIAL REQUESTS:
Please let us know if you require: ___Vegetarian meals ___Extra hotel nights
Please use the space below to indicate if you have medical conditions requiring special attention:
*Required – Name of contact person in case of necessity:
Name______
Phone number______E-mail: ______
Please read the following Terms and Conditions:
Payment Schedule:
A non-refundable deposit of $500 US is required to confirm your registration for theHot Springs Crystal Wisdom Fall Equinox 2016Sacred Journey experience.Payment options are available by contacting Aurora at: or .Thebalance for this Journey is due August31st, 2016 – no exceptions.
Cancellation Policy:
The deposit is non-refundable. If the program is paid in full and you need to cancel before 4 weeks prior to the start of the program, 75% of the total paid will be refunded to you. There is no refund after 4 weeks prior to the start of the journey.
Medical and Health Issues:
Accidents can happen. You are responsible for your own health and medical concerns while on a Light on the Journey Sacred Tour. In the event of any medical problem, Light on the Journey will do its best to help you obtain qualified medical care, however,Light on the Journey is not responsible for any costs incurred. Light on the Journey does not cover the cost of any medical care or treatment. You are responsible for your own medical insurance, which can be acquired in conjunction with your airfare.
Travel Insurance:
Sometimes, inclement weather, illness, lost baggage or other travel-related problems force travelers to cancel plans or drop out of a tour. Travel insurance reimburses you for these and other kinds of losses. Light on the Journey does notsupply travel insurance. If you are interested in this coverage, please investigate your options and make the purchase on your own.
Itinerary:
Light on the Journey reserves the right to modify the itinerary at any time, without notice, to account for weather conditions, availability of services, or other unforeseen circumstances. Every effort will be made to ensure a spiritual and joyful experience.
Responsibility:
Light on the Journey assumes no liability or responsibility for any delays, damage, injury, or accident with regards to persons or property caused by fault or negligence of any hotel, transportation, or local operator rendering a part of services offered. Light on the Journey shall not be responsible for any expense caused by loss or damage of personal items. In case of the unlikely event that the program is canceled, a refund of all monies paid will be transacted. However, Light on the Journey will not be responsible for any other expenses incurred by you, such as flights or other travel arrangements. The acceptance of this written confirmation and a deposit or final payment for services constitutes your acceptance of the terms and conditions outlined in this document.
Small Group Supplement:
A small supplement and/or an adjustment to the itinerary may be required if registration is below the minimum.
I have read and understand the above information.
______
NAME (Please print)
SIGNATURE AND DATE
1