Registration details Camino 2023
* Walking in wonder on the Portuguese Coastal Way
Name
First Name
Last Name
Date of Birth
Email
example@example.com
Phone Number
Address
Emergency Contact
I would like a confidential 90-minute FasterEFT tapping session on Zoom with Darene prior to my walk
Travel Information
I would like my backpack transferred to my accommodation every day (at my own expense)
Please let us know what your preferred activities are: E.g. Learning history of places. Sharing circles. Short meditations. Yoga stretches. Group tapping.
I agree to shared accommodation
Please Select
Yes
No
I prefer a private room if available for additional cost
Please Select
Yes
No
Sometimes
If you would like to book a private room if possible. (Please indicate if it's for the entire trip or number of nights & in which towns. Darene will get back to you with a quote for you to approve. Provide any other relevant details.)
Any comments you would like to add that would help make your Camino more enjoyable. Anything Darene and Sylvie should know...
I am organising my own travel insurance for health cover and flights (required) in the event I have to cancel or the trip is cancelled for reasons beyond control in the category "acts of God" see terms & conditions.
Please Select
yes
No
THESE TERMS AND CONDITIONS CONSTITUTE PART OF YOUR CONTRACT FOR YOUR TRIP AND RELATED SERVICES.
EXCLUSIONS: Not included are flights, taxes, transfers, visas, travel insurance (medical, baggage insurance), taxi/ bus transfers between villages that are not already catered for on the itinerary, transport of baggage between accommodations, lunches and dinners. TRAVEL REQUIREMENTS: While we will attempt to assist you, you shall assume sole responsibility to independently confirm all documentation requirements for all passports, visas, vaccinations, immunisations and other entry and/or travel requirements of each of your destinations. RESPONSIBILITIES: While Darene and Sylvie endeavour to choose quality available accommodations, however no undertaking, guarantee or warranty is given or shall be implied as to the fitness or condition of any supplier’s accommodations, transportation, food, drink, medicine or provisions supplied. We strongly recommend that you purchase travel insurance. They CANNOT BE RESPONSIBLE OR OTHERWISE LIABLE FOR ANY LOSS, DAMAGE, DELAY, INCONVENIENCE OR INJURY TO YOU OR TO YOUR PROPERTY AS A RESULT OF BREACH OF CONTRACT, ACT OR OMISSION, WHETHER WILFUL OR NEGLIGENT, CRIMINAL OR OTHERWISE OF ANY SUPPLIER OR THEIR EMPLOYEES, AGENTS, SERVANTS OR REPRESENTATIVES. I acknowledge responsibility for any health conditions that I have or any that I may suffer on this trip, including accidents or injuries. It is my responsibility to check with my doctor or health specialist whether I am fit to participate in this walking holiday where moderate fitness is required. Furthermore, if illness or injury prevents travel, we will absolutely try to refund where it is possible, but can't guarantee a total refund for money already paid in the case of establishments not offering the refund. PAYMENTS: A 50% deposit will secure your place on our Camino and must be made by the 15th of February. The balance of payment for the trip will be due on the 1st of May 2023. CANCELLATION AND REFUNDS: Your cancellation of your booking must be emailed to darene@puttergill.com.au. There is no guarantee of refund for any unused services should you leave your Camino early for any reason, but all attempts to refund will be made in the event of this happening. If you cancel your booking less than 2 weeks before the first night’s accommodation, you will forfeit 25% of the cost of your trip unless Darene is able to recover costs, which she will make every effort to do. If you cancel more than 2 weeks prior to the first night's accommodation, we will refund you, except what is irretrievable from bookings. If we can find a replacement for you, you will receive a full refund regardless. Darene and Sylvie are not travel agents. We have organised this trip for friends and friends of friends. ACTS OF GOD: Darene and Sylvie are not liable for "acts of God", weather, fire, acts of governments or other authorities, insurrections, wars, civil disturbances, riots, strikes, thefts, pilferage, terrorist acts, epidemics, disease, quarantines, dangers incident to sea, land and air travel, and other acts or incidents beyond its ability to control. In the unlikely event that neither Darene nor Sylvie can lead the tour, a like-minded, suitable replacement guide will be found.
I agree to the terms and conditions
Please Select
Yes
No
PAYMENT DETAILS (AUSTRALIAN DOLLARS)
A 50% DEPOSIT TO SECURE YOUR PLACE ON THIS TRIP IS REQUIRED BY FEBRUARY 15TH 2023. TOTAL COAST IS: AU$3200. 50% DEPOSIT IS AU$1600 (PLEASE ADD ON BACKPACK TRANSFER FEE OF AU$130 TO YOUR DEPOSIT IF YOU HAVE CHOSEN THIS SERVICE - AU$1730)
PAY BY BANK TRANSFER OR CREDIT CARD
****** A 50% DEPOSIT TO SECURE YOUR PLACE ON THIS TRIP IS REQUIRED. ****************OPTION TO PAY BY CREDIT CARD OR BANK TRANSFER BANK TRANSFER DETAILS ARE: Westpac Banking Corporation Swift code WPACAU2S Branch Address: Shop 6, 1 Arcadia walk Corner Arcadia & Lanyana Way Noosa Junction Queensland 4567 Australia Branch code (BSB) 734655 Account number 649575 Account name: Kevin and Darene Puttergill
Please charge my credit card AU$1600 for the 50% deposit (to book my place) on the 15th of February (Backpack transfer will be added on if you have requested it as well as $145 for an extra night's accommodation on 21 May in Porto if requested. Here is my card number, expiry date and CCV number.
I will not be able to read your entire card number here (Jotform protection.) The expiry date and ccv will be visible so please just send me the actual card number by message or phone. Thank you. Darene
PAYMENT DETAILS FOR SOUTH AFRICAN TRAVELLERS
Payments can be made in rands by applying current exchange rate of Rands to Aus dollars. BANK: FIRST NATIONAL. BRANCH: VINCENT PARK. CODE: 211021. NAME: LYALL PUTTERGILL. A/C NUMBER 52130079794
I would like to pay by PayPal (Darene will invoice you via Paypal once you select this option. Please note this will incur a Paypal transaction fee of AU$80.)
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