Registration Form
Fill out the form carefully to register for the Peru Dreaming Tour 2027
Personal Information
Name (as it appears on your passport)
*
First Name
Middle Name
Last Name
Passport Number
Country
Date and Place of Issue:
Expiration Date
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Birth:
Country of Birth:
Gender
Male
Female
Non-Binary
Prefer not to Say
Preferred Name
Preferred Pronouns
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
*
Format: (0000) 000-0000.
Alternative Number
Format: (0000) 000-0000.
E-mail Address
*
Occupation or Grade in School
Health Insurance Provider
Policy #:
Group #:
Travel Insurance Provider/Company:
Policy #:
24-Hour Contact #:
Health Information
General Health Condition
Excellent
Good
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Have some challenges, please list below
Please share further
Do you smoke?
Please Select
Yes
No
Do you have any allergies
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Yes
No
If yes, please explain:
Any physical or mobility challenges?
Please Select
Yes
No
If so, please explain:
Any emotional/psychological challenges:
Please Select
Yes
No
If yes, please explain:
Any dietary restrictions:
Please Select
Yes
No
Please note: in some cultural contexts, vegetarian and gluten allergies may be difficult to accommodate)
If so, please explain further:
Are there any other special considerations that we should know about in processing your registration? If so, please add more information here:
In case of emergency
Person to Contact
*
Phone Number
*
Format: (0000) 000-0000.
Relationship
More about You
What interests you about taking this Peru Dreaming Tour?
What are your expectations for this experience?
Have you ever lived in or visited a country outside of your own? If so, where and when? Describe your experience briefly:
Are you adaptable to simple living accommodations and dormitory-style living?
Please Select
Yes
No
Will you agree to participate with the group prior to, during and following the Peru Dreaming Tour?
Please Select
Yes
No
Please describe any skills, interests or hobbies you have that may be useful to the group:
Do you speak more than one language? If so, which ones and how fluently?
How would you describe your spirituality:
Have you ever taken part in individual or group Dream Work? If so, please share your experience.
My Products
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Total Cost of Peru Dreaming Tour 2027
$5,792.35 CAD
$
5,792.35
CAD
USD $3995 or CAD $5,516.70 + 5%GST = $5,792.35
Deposit for Dreaming Tour 2027 - Due by Sept. 30, 2026
$2,761.80 CAD
$
2,761.80
CAD
$2,000 in USD, converted to CAD based on an exchange rate of $1.38. Please note that this exchange rate may vary.
First Payment, Peru Dreaming Tour 2027
$918.30 CAD
$
918.30
CAD
$665 USD, converted to CAD based on an exchange rate of $1.38. Please note that this exchange may vary. Due by Oct. 30. 2026
Second Payment, Peru Dreaming Tour 2027
$918.30 CAD
$
918.30
CAD
$665 USD, converted to CAD based on an exchange rate of $1.38. Please note that this exchange may vary. Due by Nov. 30, 2026
Third Payment, Peru Dreaming Tour 2027
$918.30 CAD
$
918.30
CAD
$665 USD, converted to CAD based on an exchange rate of $1.38. Please note that this exchange may vary. Due by Dec. 30, 2026
GST for Peru Dreaming Tour 2027
$275.83 CAD
$
275.83
CAD
GST based on CAD cost of tour, $5516.30 (based on an exchange rate of $1.38. Please note that this rate may vary) Due by Jan. 31, 2027.
Total
$0.00 CAD
$
0.00
CAD
Credit Card
Please read and sign the following agreement: I agree to all of the conditions relevant to the Peru Dreaming Tour 2027. I understand that the deposit is non-refundable. I agree to participate with the group in the orientation, pre-tour centering/reflection, group dream work, and will meet all of my financial obligations related to this tour.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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