EO Forum Retreat | Cuba 2022 - Insider Expeditions

Your Name as it appears on your Passport *

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Middle

Last

Nickname/Preferred Name

Email *

Phone *

Mailing Address (No PO Boxes) *

Address Line 1

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Passport Information

Passport Number *

Passport Issue Date *

Passport Expiration Date *

Passport Issuing Country *

Birthday *

Health and Dietary

Do you have any dietary restrictions or allergies? *

What medications are your currently taking? *

Do you have any physical limitations or health issues to disclose confidentially prior to the trip? If you have any medical or psychological conditions, it's very important you let us know well before departure so we can make extra arrangements if necessary.

Do you have any travel sensitivities or special requests you’d like us to keep in mind?

Emergency Contact Information

Name *

First

Last

Relationship to Emergency Contact to you *

Number *

Email *

Do you have anything else we should be aware of at this time? Anything you're most excited for? Let us know!

The Small Print

Terms & Conditions: Check this box to agree to the Terms & Conditions of booking, as they affect your legal rights and responsibilities. *

I agree

Click HERE to review the Terms & Conditions.

Covid-19 Policy: I understand that all travelers on this retreat will need to adhere to Cuba Covid-19 entry requirements at the time of travel, such as providing proof of vaccination or a negative Covid test. Please note that entry requirements are subject to change prior to the trip and Insider Expeditions has the right to adjust this policy as requirements change. Check this box to agree to this policy. *

I agree

Trip Payment *

Price: $ 2,675.00

Full payment for one guest is due upon registration, plus 7% taxes and fees.

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If you are having trouble submitting your form, please make sure you have filled out all of the required fields.
For additional support, please email info@insiderexpeditions.com.