Registration for Peru

Your next step: Registration Form

How beautiful that you have been called to the Andes. Jhaimy looks forward to welcoming you to his home.

Please take a moment to complete the registration form below and we will be in touch with you soon. As always reach out anytime we questions! We are happy to help make this journey an amazing experience with you.

Contact Starr at: [email protected]

First Name

Last Name

Which journey are you registering for and what is drawing you to Peru at this time?

Address

City

Country

Zip/Postal Code

Phone Number (with area code)

Passport #

Full Name As Listed on Passport

Passport issued by (country)

Passport Expiry Date

Date of Birth

Emergency contact Name & relationship to you

Emergency contact (name, relationship to you, phone # and email address)

Do you have any allergies or dietary preferences? If yes to allergies, how are they managed?

Do you have any medical concerns that we should be aware of?

Preferred payment method for Journey to Peru

Would you like to add the single room supplement for $600USD?

Payment schedule

Anything else you wish to share with us at this time?

Your next step: Registration Form

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