FIELDS MARKED WITH AN ASTERISK (*) ARE MANDATORY

Your email address*

Name of your travel agent (if none yet, we will assign you a dedicated agent)

_____________________________________________

YOUR INFORMATION

MrMrsMx

First name*

Last name*

Date of birth*

Gender*
MaleFemaleOther


YOUR ADDRESS

Address line 1*

Address line 2

City*

Province*

Postal Code*

YOUR PASSPORT

Passport number*

Passport issue date*

Passport expiry date*

Place of issue* (passport nationality)

_____________________________________________

FOOD

Please indicate here if you follow any type of diet:

No dietVegetarianPescetarianVeganGluten-freeKeto dietPaleo dietHalalKosherOther

Please indicate here if you have any allergies:

No allergiesSeafoodEggFishMilkPeanutSoyTree nutsWheatOther

Is there anything else we should know regarding food?

_____________________________________________

THE TOUR

Tour name*

Tour date*

Single room option (see tour page for supplement)*
YesNo

_____________________________________________

EMERGENCY CONTACT INFORMATION

Prefix*
MrMrsMx

First name*

Last name*

What is your relationship with your emergency contact?*

Emergency contact primary phone number*

Emergency contact work phone number

Emergency contact email*

_____________________________________________

INSURANCE
Adequate travel insurance is required for all participants on Yoga Travels tours. You must have coverage for at the very minimum medical expenses and emergency medical evacuation. Your Yoga Travels dedicated agent can provide you with options.

I agree to the insurance requirements: YesNo

Do you have any questions? (optional)