Book a Journey
How to book:
Read through the ‘Terms & Conditions’ and ‘Waiver & Release’
Fill out the ‘Registration Form’ below
Select the required payment or deposit (please refer to your particular journey’s ‘price outline’) and submit!
Terms & Conditions
Waiver & Release
Registration Form
Journey Name
*
Date of Journey
*
Name
*
First
Last
Email
*
Home Address
Phone Number
Gender
M
F
Nationality
*
Passport Number
*
Date of Birth
*
Emergency Contact Details (Name, Address, Email, Phone Numbers, etc)
*
All food that is served throughout the journey is vegetarian unless otherwise requested. Do you have any dietary sensitivities, food allergies, and/or special dietary requests?
Please list any pre-existing physical and/or mental health conditions, limitations, and/or allergies
Have you had previous issues with AMS, Cerebral Edema, and/or Pulmonary Edema?
What type of lodging do you prefer – shared room or single?
*
(Please check the webpage corresponding to your particular journey for the add-on cost of the ‘single room supplement’)
How did you find out about Himalayan Hermitage? Please give us the name of the person, company, and/or organization
*
Have you ever visited the Himalayan region before and do you have any prior exposure to meditation practice or Buddhist philosophy?
Why would you like to come on this journey?
*
(This question is important – please take your time to answer it!)
Travel Medical Insurance?
*
Yes
No
(It is not mandatory to have Travel Medical Insurance at the time of booking/registration, but it is absolutely mandatory to have it by the time of the journey as only those who have obtained Travel Medical Insurance will be accepted to attend the journey. Please see the above ‘Terms & Conditions’ for details)
Select your payment or deposit amount:
*
Standard Deposit ($500 deposit + $18.50 Stripe processing fee)
Higher Deposit ($750 deposit + $27.75 Stripe processing fee)
Standard Deposit for two (2 x $500 deposits + $37 Stripe processing fee)
Higher Deposit for two (2 x $750 deposits + $55.50 Stripe processing fee)
Total
$ 0.00
Credit Card
*
Card Number
Security Code
Name on Card
Expiration
MM
1
2
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YY
23
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Legal Disclaimer:
By checking (clicking) the circle below I hereby sign both the ‘Terms & Conditions’ and the ‘Waiver & Release’ found above. By checking (clicking) the circle below and thereby signing both the ‘Terms & Conditions’ and the ‘Waiver & Release’ I acknowledge that I have read them both in full and that I fully understand, fully agree to, and fully accept them. By checking (clicking) the circle below I also acknowledge that I have read in full the above journey’s specific webpage details which contain its particular corresponding information tabs such as the 'Description', 'Facilitators', 'Daily Schedule', 'Itinerary', 'Accommodation', 'Price', etc, and that I fully understand, fully agree to, and fully accept them. Lastly, by checking (clicking) the circle below I acknowledge that I have filled out the above registration form honestly and to the best of my ability. This is a legal requirement.
*
Legal signature
Name
Submit
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