Peru Yoga Trip

VIBRANT PERU ADVENTURE

Hiking, Cultural Connections, Yoga, and Andean Cuisine
with Annie Barrett, M.A., E-RYT 500 and Steve Scheuerell, Ph.D

Registration Form

2019 Vibrant Peru Trip Registration Form

Trip Name: Vibrant Peru Adventure - Yoga, Hiking and Cultural Connections 2018
Tour Leaders: Annie Barrett, M.A., E-RYT, and Steve Scheuerell, Ph.D.
Dates: June 29 - July 10, 2019
Price: $3100 double occupancy, $3400 single occupancy

Please fill out the following information.

Contact and Travel Document Information
All information is kept confidential. Peruvian law requires us to provide a copy of your passport to each place of lodging and to purchase Machu Picchu and train tickets.

* Indicates required field

Name as it appears on your passport *

First

Last

Email *

Phone Number *

Age *

Date of Birth *

Passport Number and Country of Issue *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Health Information

Participants must be in good health and physical condition. This is a physically demanding trip. Walking and hiking on uneven surfaces is required to explore the region. The majority of our time will be spent at an altitude of between 9,000-11,000 feet. We will make time for acclimatization in the early days and leave ample time for rest and relaxation along the way.

Our activities require good fitness and stamina and we require participants to be as fit as possible. *

I am in good to excellent health and can easily walk or hike up to 6 miles a day. I am not in good health.

Please describe any physical limitations, medical conditions or allergies. *

Meals and Diet Information

Quinoa, rice, corn, potatoes, vegetables, meat and poultry and fresh fruit are the main foods consumed in the Andean region. Hearty vegetarian meals are always available. If you have specific dietary preferences, we will do our best to make accommodations. If you have severe allergies or very a very restrictive diet, you may need to be prepared to bring along some of your own food.

Please select your dietary preferences. *

vegetarian vegan non-vegetarian (chicken, fish and meat options) other dietary needs

Please describe any dietary restrictions or needs. *

Accommodations

We will have overnight lodging in the following towns: Pisac, Ollantaytambo, and Cusco. In each location, participants will be lodged in comfortable and charming hotels or hostels with private bathrooms.

Choose One *

I prefer a shared accommodation I prefer a single accommodation

If you checked "shared accommodation," please list the names of the person(s) with whom you would like to share a room. *

Emergency Contact Information

Name of Emergency Contact *

First

Last

Relationship to you *

Email *

Phone Number *

Thank you for submitting your registration form. We will contact you soon.

Submit

If you have registered for the trip, you may make a payment here.

2019 Vibrant Peru Trip Payment

VIBRANT PERU ADVENTURE

Hiking, Cultural Connections, Yoga, and Andean Cuisinewith Annie Barrett, M.A., E-RYT 500 and Steve Scheuerell, Ph.DRegistration Form

2019 Vibrant Peru Trip Registration Form

YOGA WITH ANNIE BARRETT LLC

Hiking, Cultural Connections, Yoga, and Andean Cuisine
with Annie Barrett, M.A., E-RYT 500 and Steve Scheuerell, Ph.D

Registration Form