Old Sign Up Form | idanzefitness

Mind and Body Soulcation
Registration

First Name

Last Name

Street Address

Street Address Line 2

City

State

Postal / Zip code

Roommate's Name

*Each Traveler is individually required to fill out this form and provide their $150 non-refundable deposit to secure their trip and hold their room. Since all rooms are double occupancy, this form does not secure your room until deposits are received for both travelers.

I agree my room isn't secured until both travelers are registered.

Do you need Travel Protection Plus insurance View Policy Here

I agree the $150 trip deposit is non-refundable trip

I understand I'm responsible for my own flight accommations

Your Mind, Body and Soul says "Thank You"

Mind and Body Soulcation Registration

Mind and Body Soulcation
Registration