Retreat Registration Form

Retreat Registration Form

Please fill out the form below to register for the upcoming travel event.
Full Name

First NameLast Name
Date

DayMonthYear
Date
Email Address
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Preferred Travel Destination (Select Multiple)

AustraliaNew ZealandDubai UAEQatarIndiaPakistanChina
Travel Options

Sisters Only Solo / Friends GroupCouplesFamiliesCorporateGroupsOther
Preferred Travel Date From

MonthDayYear
Date
To

MonthDayYear
Date
Travel Budget (USD)
Travel Interests
Activities you would like to do
Health and Safety

Please answer the following health and safety questions.
Do you have any medical conditions or allergies?

YesNo
Please specify
Are you fully vaccinated against COVID-19?

YesNoPartially Vaccinated
Additional Information
Are you traveling alone or with others?

AloneWith Others
Travelers
Additional Comments
My Products
prevnext( X )
Pakistan Northern Areas 21 Days Retreat🌙 Halal-Friendly Retreats | Prayer Stops | Masjid Visits | Spiritual Talks | Halal Food Included 🕌 Daily prayer breaks included in the itinerary 🍽️ Halal meals provided throughout the trip 🧕 Women-only spaces on sisters’ retreats 🛐 Visits to local masjids and spiritual landmarks 📖 Optional spiritual reflections and talks 🤝 Travel with like-minded individuals in a respectful, faith-conscious environment
$5,500.00 Quantity
Item subtotal:$0.00

Total

$0.00
Should be Empty:

Retreat Registration Form

Health and Safety

Additional Information