In The Company of Guides -n Nepal Yoga & Trekking 2018 EBC - Sign up Form

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* 1. Hi, welcome. So glad you are joining this adventure. Please provide your contact information.

Name

Address

Phone

Who referred you?

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* 2. Why do you want to do this trip? What are you most hoping to get out of it?

Fun

Relaxation

Adventure

Healing

Deep connection to nature, Nepali culture, and myself

Learning something new

Uplifting experience

Better health

Connection to others on the trip

A lifelong memory

Amazing photos

Other (please specify)

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* 3. Please tell me about your experience hiking or climbing? Have you hiked at altitude before? (It is fine if you have not, just interesting to know, and helps me coach you).

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* 4. Are you coming alone or with others? If others, then who are they?

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* 5. Emergency contact information: Who would you like me to contact in an emergency?

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 6. How would you like to pay for the deposit of $1000.00? This reserves your spot on the trip. It is refundable up to 90% if canceled 3 months before the trip, non refundable after that. The balance is due 45 days prior to the trip. Pay in full and get $100 off.

Check - no extra charge - $1000 Send to: In The Company of Guides 3606 E Avondale Dr. Cottonwood Heights, UT 84121

PayPal - 3.5% charge $1035.00 - I will email it to you.

Credit card - 3.5% charge = $1035.00, I will call you for information

Venmo - no extra charge $1000.00 Winslow Passey@winslow-passey

Bank transfer - no extra charge, I will send you a request via email

Would you like to pay in full now and receive $100 off?

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* 7. Which parts of the trip are you most excited about?

Amazing scenery of the Himalayas

Doing something challenging or out of your comfort zone

The culture and interactions with the Sherpa and Nepali people

Moving your body in the mountains

Yoga and Meditaiton in the Himalayas

Connecting with others on the trip

Being with me on the trip

Other (please specify)

In The Company of Guides -n Nepal Yoga & Trekking 2018 EBC - Sign up Form

Question Title

* 1. Hi, welcome. So glad you are joining this adventure. Please provide your contact information.

Question Title

* 2. Why do you want to do this trip? What are you most hoping to get out of it?

Question Title

* 3. Please tell me about your experience hiking or climbing? Have you hiked at altitude before? (It is fine if you have not, just interesting to know, and helps me coach you).

Question Title

* 4. Are you coming alone or with others? If others, then who are they?

Question Title

* 5. Emergency contact information: Who would you like me to contact in an emergency?

Question Title

* 6. How would you like to pay for the deposit of $1000.00? This reserves your spot on the trip. It is refundable up to 90% if canceled 3 months before the trip, non refundable after that. The balance is due 45 days prior to the trip. Pay in full and get $100 off.

Question Title

* 7. Which parts of the trip are you most excited about?

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* 8. Do you have any medical concerns or are you taking any medications? Please describe.

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* 9. Have you ever had any surgeries? Please describe.

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* 10. What do you want me to know? Have any questions?