In order to submit this online registration, please fill out the following form and read and agree to the Terms and Conditions. Registration confirmation for the tour will be emailed to you after we receive the registration form and deposit.

If you are not able to send the form on-line please download and fill out this form file click here: HopiNationRetreat2024-RegistrationFORM.doc and send it via email to: info@shalohaproductions.com

PRICES & CANCELLATION POLICY

SINGLE Occupancy

- Tour price per person for a SINGLE Occupancy Room. This is when you are traveling alone

Price is $5,999 USD

Payment Plan:

Payment 1: $1,999 USD upon registration to reserve your place – refundable (minus 10%) if canceling before January 1st 2024
Payment 2: $2,000 USD due by August 1st 2023 – refundable (minus 25%) if canceling before February 1st 2024
Payment 3: $2,000 USD due by January 1st 2024 – refundable (minus 50%) if canceling before March 1st 2024

DOUBLE Occupancy

- Tour price per person for a DOUBLE Occupancy Room. This is when you are traveling with a companion and sharing a Room

*Room share note: When not traveling with a companion/partner/friend, we pair intuitively women with women, men with men. The Divine Spirit typically has a hand in those matters.

Price is $4,999 USD

Payment Plan:

Payment 1: $999 USD upon registration to reserve your place – refundable (minus 10%) if canceling before January 1st 2024
Payment 2: $2,000 USD due by August 1st 2023 – refundable (minus 25%) if canceling before February 1st 2024
Payment 3: $2,000 USD due by January 1st 2024 – refundable (minus 50%) if canceling before March 1st 2024

REGISTRATION PAYMENT

(Single) Deposit $1,999 USD

(Double) Deposit $999 USD

Name of your companion if you are traveling with one (Double Room only)*

*Your companion needs to fill out their own individual registration form. When they do this they should type your name in this field on their registration form and pay their own deposit.

Room share note: When not traveling with a companion/partner/friend, we pair intuitively women with women, men with men. The Divine Spirit typically has a hand in those matters.

PARTICIPANT INFORMATION

Name as it appears on your passport

Title (e.g. Mrs., Ms.)

Given Name(s)

Surname

Date/place of birth

Date of Birth (M/D/Y)

Place of Birth

Postal Address

Street Address

City

Province / State

Postal / Zip Code

Country

Contact Information

Work Phone

Home Phone

Mobile Phone

Email Address

Profession

Profession

Passport Information (NOT required for USA citizens)

Passport Number

Nationality

Date of Issue (M/D/Y)

Place of Issue

Date of Expiry (M/D/Y)

Emergency Information

Please enter the name and contact info of a close family member or friend who will NOT be traveling with you.

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Email Address

Emergency Contact Relationship to Traveler

Health Information

What is your general state of health?

List any special medical, physical, dietary limitations or allergies

Primary Physician Name

Primary Physician Phone Number

List any RX Medication

Choice of Food

Regular

Vegetarian

Vegan

PAYMENT METHOD

All the payments will be made through PayPal. You may pay by credit card or wire the money from your bank account via PayPal.
After this registration form is submitted, you will then receive an emailed Invoice to make the deposit payment.
Once payment is made, your registration is complete and confirmed. You will receive an Invoice email each time another payment is due.

AGREEMENT TO TERMS & CONDITIONS

Your typed name will act as your signature. These terms, conditions, and policies may not be challenged nor negotiated. Herein you make a full agreement.

Yes, I have read and accept the terms and conditions and cancellation policy

No, I do not accept the terms and conditions and cancellation policy

Full Name

Date (M/D/Y)

Notes

A copy of this registration form will be sent to your e-mail. If you have not received it shortly after you submit the form, please check your SPAM, TRASH or PROMOTIONS folders.

Email*: info@shalohaproductions.com

*Email is our primary and preferred form of communication for the tour and all related aspects of the trip. This ensures the best clarity and record keeping for all communications. We will reply to your emails as soon as possible and in the order they are received. Thank you for your understanding!