REGISTER NOW AND RESERVE YOUR  ADVENTURE!

Adventurer Contact Information
Gender
Have you attended a Virtual Catalina Retreat in the past?  If so, please enter the dates you attended below for a returning Catalina Retreat discount.
If you are celebrating a special occasion while in Peru, please let us know about it here.
Adventurer Passport Information
Your passport should have 2 blank pages for entry stamps and be valid for six (6) months (April 2023) after your scheduled return date. If you hold a passport with an expiration date less than six (6) months after your return date, we ask that you renew your passport as soon as possible.

If you hold a passport from a country other than the United States, please check with your issuing country's consulate to determine entry requirements for travel to Peru.
Date of Birth (MM/DD/YYYY)
Adventurer's Emergency Contact Name - someone other than the person with whom you'll be traveling
Adventurer's Emergency Contact Phone
Adventurer General Information
If you have any physical limitations please let us know about them here.
If you have any special dietary needs while in Peru, please list them here.
If you have any additional special needs while in Peru, please indicate them here.
Accommodations
Choice of Accommodations:
Please note, if you are traveling alone, you must check single room, however if you've requested a roommate and one becomes available, you will be charged the double rate when final payment is due. You may request to be paired up with a roommate in the Special Requests section below:

Special Requests:

Item Price
$500
$500
Please note if you plan to travel with a companion at the double occupancy rate, they must register within 7 days or your registration to be paired together with you.  Please list your companion's name and phone number below:
Deposit & Payment Information

Payment Information: A $500.00 per person non-refundable deposit is due at the time of registration.  Please note, this form is submitted over a secure encrypted format.

Please note, initial deposits are non refundable as retreat/hotel space as well as meals and tours are items that must be guaranteed to our suppliers well in advance. We are holding space on your behalf and committing to it financially.
Important:  All  payments are processed through 501c(3) Organization, BraveHearts for Kids as a charitable trip donation, meaning a portion of the cost of the trip may become an itemized deduction on your 2022 Taxes.  You will receive a year-end donation receipt from BraveHearts for Kids.  Please consult a tax advisor for guidance regarding deduction amount.
We accept Visa, Visa Debit, Master Card, Discover, and American Express

Billing Address:

Cancellation/Refund Policies

Please note, initial deposits ($500.00 per person) are non-refundable. Please keep in mind accommodations as well as meals and tours are items that must be guaranteed to our suppliers well in advance. We are holding space on your behalf and committing to it financially.

By entering your name and checking the box below you agree to the above "Assumption of Risk" (see below) and "Cancellation/Refund" terms.
Please enter your name here.
I have read and understand and agree with the above.
Assumption of Risk and Cancellation Policies
Assumption of Risk

I am at least 18 years old and I acknowledge that I have voluntarily enrolled (myself and any travel companion listed below) to participate in the BraveHearts Adventures - Vacations with Purpose to Machu Picchu, Peru taking place from November 6th - 12th, 2022. Tours are designed for adult attendees 18 and over.

I understand that all travel, domestic or international, bears some degree of risk to health and life. I am prepared to assume the risks associated with this tour including: forces of nature; terrorism; communicable diseases; civil unrest; war; accidents; abiding by foreign laws; and transportation including land vehicles, boats and aircraft that are not necessarily operated or maintained to standards found in the United States. I also assume all risks and will bear all costs associated with altitude, illness, disease, physical exertion, and alcohol consumption, knowing that access to evacuation and/or suitable medical supplies and support may not always be readily available.

I have been advised to check with my personal physician in regard to recommended inoculations for travel and/or any other medical precautions/recommendations prior to participating in the trip.

By signing this document, I agree to take full responsibility for my own actions, participation, health, safety and welfare. I also understand that I will be a member of a group and will conduct myself in a way that will not endanger the group or myself. I understand that if I inaccurately estimate my fitness for this tour or misjudge my own capabilities, I may choose or be asked to miss certain events at my own expense.

I hereby waive any and all claims, demands, losses, or causes of action that I may have, now or in the future, against BraveHearts Adventures DBA of BraveHearts for Kids and/or Catalina Retreat Center, their parents, affiliates, subsidiaries, or any of their respective officers, directors and employees (collectively referred to as BraveHearts Adventures and Catalina Retreat Center) and release them from any and all liability whatsoever with respect to the BraveHearts Adventures - Vacations with Purpose to Machu Picchu, Peru. This waiver and release shall apply to all instances involving damage or loss of property or that of a third or fourth person, or my personal injury or death or that of a third or fourth person. I agree that this release will be legally binding upon me, my heirs, successors, assigns and legal representatives; it being my intention to fully assume all risk of travel and to release them from any and all liabilities to the maximum permitted by law.

By entering my name below and checking the box below, I agree to these above statements for myself and travel companion:

Please Note: Your privacy and security are important to us. The information collected here will never be shared, sold, or rented to any other parties. All data is encrypted and transmitted to us in a secure way. We take all precautions to protect your information both online and offline.
Powered By ClickFunnels.com