Peru Pilgrimage Registration Form
July 20th-August 2nd,  2010
“Journey to the Land of Spiritual Universities”



Legal Name___________________________________________ please include picture

Spiritual Name/name you go by___________________________________________

Address:_____________________________________________________________

City: _____________________ Province/State: __________________

Postal Code/Zip: _______________Country:____________________

Day Ph: ______________________ Eve: _______________________

Email: ____________________________________________________

*Note: Passport date must not expire within six months of the travel date

Name as it appears on your passport.__________________________________________

Passport Number ________________________ Passport Country __________________

Date of Issue: ____________________________Date of Expiry: _________________

Medical Condition(s):_____________________________________________________

Emergency Contact Information:

Name: __________________________________________Phone: ________________

Email: _____________________________________________

*We need all your flight details so we can arrange someone to pick you up at the airport when you arrive and take you back when you go home.

Arrive Lima Date ______________Arrival time___________

Airline Name ___________________________ Flight Number ________


Depart Lima Date ______________Depart Time___________

Airline Name ____________________________Flight Number________ 

*Note Please book your departure time in the Evening, after 9PM


You may arrive any time of day or evening on July 20th, 2010 (If you wish to arrive a day or two...or three, early, we can arrange extra nights for you in Cusco. This is good for those who live at sea level and wish to adapt to the high altitude prior to official start of the tour : ) *If arriving early or leaving later than the regular scheduled group pick up, extra charges will apply.
Yes (    )     No (    )    Dates needed for extra hotel nights

_____________________________________________________________________


Pilgrimage July 20th-Aug 2nd, 2010
14 Magical days of life changing experiences to….. Cusco, Sacred Valley,
Ollantaytambo, Machu Picchu, Sacred Site Sacsayhuaman, Tipon, Moray, Puno,
Lake Titicaca, participation in meditations and ceremonies throughout this Pilgrimage.
Prices are per person and do not include airfare to Lima, Prices are confirmed.
Double room $2,560usd, add $600 for single room

(   ) DBL 2,620usd             (   ) SGL add $600usd        (   ) Help me find a roommate



*Extension Trip*- Nazca Lines, Ica, Oasis
July 17th, 18th, 19th, 20th 2010
With Juan before the main tour begins
$800usd per person
***This is an extension trip and is extra to the July 20th-Aug 2nd tour dates

_________YES sign me up for this extension          __________NO thanks


*Stay Later Extension to UFO Site
4 Days and 3 nights
August 3rd-6th
$600usd
please contact Jane directly
This Extension is more for the adventurous, as it is off the beaten track.
INCLUDES
Private transportation Cusco - Pomacanchi - Cusco
motor boat
Camping site teams
Feeding
Guides professional and the company of the wise spiritual grand father, powerful ceremonies of healing.
Porters, professional cook.
fee entrance.
camping equipment
horses.

NOT INCLUDED
Tips
Sleeping bags
___________Yes sign me up for this extension  No Thanks__________

*Extension Tours- some things are not covered in these packages that are covered in the Pilgrimage package.  Please read what is included and what is not included in those packages.


INCLUDES: All accommodations with breakfast. Entrance fees to archaeological sites, all ground & air transportation once you arrive in Lima, (domestic flights Lima-Cusco
and Juliaca-Lima), private bus throughout the tour, tourist train to and from Machu
Picchu, Peruvian taxes, guide and host *All plans subject to slight changes due to
Spirit's calling. *Guide book with map will be sent after registration is received.

NOT INCLUDED: International airline ticket/airfare to Lima, Peru. Lunch, dinners, snacks, drinking water. Travel insurance, is not included and is the responsibility of the participant to obtain. Airport departure taxes in Peru: for domestic flights approx $7 USD and for return international flight approx $40 USD.
Tips for bus/taxi drivers, porters, maids, helpers and Juan.  Wisdom keeper Vidal participates on a donation basis; please factor into your cost between $50-$100usd or more for his participation as an added expense.  All donations should be offered and accepted with the heart.  *Optional gifts to the children of the Village of Hayu Marca, Puno, of school supplies, school bags, or donations to help purchase sheep, cow, and seed.  This is a community in need that I committed to helping them become a more sustainable community.

REGISTRATION INSTRUCTIONS: 1. prior to sending your deposit, contact Jane
to insure availability.  2.  Pilgrimage deposit of $500usd cash or bank draft must accompany this registration.  3.  Due May 1st 2010, $1,060usd bank wire.  Jane
will provide bank wire information.  4.  Balance of Pilgrimage (1,000usd) is due
upon arrival, in clean unmarked bills as vendors will not accept any torn, worn or
marked bills.  This amount may also be bank wired before your arrival in Peru if
you prefer.

Cancellations: All cancellations must be received in writing. Any cancellations received 60 days or more before tour commences, will be charged a fee of 50% of total fare.  Cancellations received 31 days before tour commences will be charged a fee of 75% of total fare. No refund will be given for cancellations received 30 days or less before tour commences.  This trip is not transferable with other tours that we arrange.  *Late registrations may or may not be possible. During the summer, reservations for hotels and Air need to be made months in advance in Peru.  We do not want you to miss out so sign up early!

*No refund will be given once tour dates begin.
*Late registrations may or may not be possible, and could effect arrival and departure times for internal domestic flights and rooms.
*Payment of $500usd none refundable to accompany this registration form (cash, bank draft)

Waiver: I/we agree to take responsibility for all blessings and challenges that can happen while traveling in a third world country.  I/we agree to release Jane Gasior and Juan Miranda from all responsibility and liability for unforeseen circumstances and/or changes in the schedule due to acts of God (weather, earthquakes, etc...), and any other unforeseen events or mental/physical illnesses occurring during tour dates. I/we understand that Jane Gasior and Juan Miranda reserve the right to ask a group member to leave the tour if their behavior is harmful, disruptive or dangerous to the tour group. I/we understand that I/we are aware of and agree to the REGISTRATION, PAYMENT AND CANCELLATION POLICIES and understand and agree to all of the above information.

Signed ___________________________________________ Date _______________


Signed____________________________________________Date________________












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Pilgrimage Host

Jane Gasior
1-22 School St.
PO Box 5148
Waverley
Nova Scotia
B2R 1S7
Canada

1-902-225-6585