registration
a journey of divine awakening in peru

Name *
Name
Cell Phone *
Cell Phone
Room Preference *
Bed Preference *
If you do not have a roommate coming on the journey, we will make all efforts to find you a roommate. If there is an odd number on the trip, the single person without a chosen and agreed upon roommate (by both parties) will be subject to the private room upgrade pricing.
Payment Options *
FULL PAYMENT IS DUE BY AUGUST 15, 2019. Once we receive your registration, we will send payment details and due dates. Please choose one of these options.
Agreement *
By submitting this form, I acknowledge that I will authorize a non-refundable $500 deposit to register for A Journey of Divine Awakening in Peru. I understand my deposit will be applied toward the program's full price of of $3900 for double occupancy or $4500 for single occupancy. Please check BOTH boxes.