Women to Women Retreat – Registration & Booking Agreement (USA)

Women to Women Retreat – Registration & Booking Agreement (USA)

Organized by Revital Travel
Please complete this registration form carefully. By submitting this form, you confirm your participation in the Women to Women Retreat organized by Revital Travel and agree to all terms stated below.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address (City, State, Country)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Health Information

This information is optional and confidential. It will be used only to support your well-being during the retreat.
Allergies / Dietary Restrictions*
Medical or personal considerations (optional)

Please read the documents here: Terms & Conditions
Please check that applies:*

I have read and agree to the Terms & Conditions of Revital Travel.I understand and accept the Cancellation & Refund Policy.I accept the Liability Waiver & Medical Disclaimer.I confirm that my booking is binding upon submission of this form and payment confirmation.I understand that this retreat is a wellness and personal development experience and does not replace medical or therapeutic treatment.

By submitting this form, I confirm that all information provided is accurate and complete. I understand that this agreement is legally binding under U.S. law.
Digital Signature / Typed Full Name*

Powered by Jotform SignClear
Date

MonthDayYear
Date
Should be Empty:

Emergency Contact