Provence, France

Welcome to the official registration for our upcoming journey. Kathy has confirmed your spot on the team—please complete the form below to finalize your details and secure your place.

Traveler Registration Details

Travel Registration

Please complete the registration form below to secure your spot on this journey.

Deposit, non-refundable

$600

First Name (as appears on passport)

Last Name (as appears on passport)

Email Address

Phone Number

Home Address

Country/Region

Address

City

Zip / Postal code

Date of Birth

Passport Information

Passport Number

Passport Issue Date

Passport Expiration

Country of Residence

Place of Birth

Have You Traveled Internationally?

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Preferences & Requirements

Rooming Preference

Dietary or Accessibility Needs

Specific Medical Needs

Are you celebrating any special occasions on this trip?

Are you rooming with someone? If so, with whom are you sharing? Would you like your own bed or will you be sharing? (Sharing a bed may result in a double up to a king size bed)

Would you like to extend your stay past the dates of the scheduled trip? Please provide more info here.

Today's Date

Do you agree to the terms and payment policies for this travel registration. Please refer back to the Travel Page's disclaimer for full details. The disclaimer is located at the bottom of this particular Trip's Page.

Key Dates & Logistics

Trip Dates:

April 21st-28th

8 days and 7 nights

This Journey is Open to all Genders

Double Room $4,800 pp

Single Room $5,300

Payment Timing: An initial deposit is required within 48 hours of form submission to secure your pre-confirmed spot. The final balance will be due 90 days prior to departure.

Next Steps: Once you submit this form, keep an eye on your inbox. You will receive an automated confirmation followed by a personalized invoice and our comprehensive pre-trip information packet within 2-3 business days.

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