Participant Contact Information

Name

What pronouns do you use?

Date of Birth

Email (non-school email is preferred)

Alternative Email

Phone Number (cell phone preferred)

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

By providing your cell phone number you consent to receive limited SMS updates regarding your travel plans. If you do not wish to receive these, please email [email protected].

Address

Registration Information

Admin Use Only

1. Select your Registration Option.

2. Under Payment Options, select:

1. Full Payment OR 2. Deposit Payment.

By selecting Deposit Payment, your remaining balance will be processed with your credit card on file on the dates indicated on your Confirmation Letter. Depending on the date you register your remaining balance is split into 1 - 4 payments.

If you need to update your credit card information prior to the payment date you may reach out to us at [email protected]..

If there is a waitlist for the registration type you would like we encourage you to fill in the registration form and select the waitlist option (no payment necessary). We often find that there are changes to availability and a spot may open up. You may also contact us directly at [email protected] with any questions.

Due to the nature of this program, the activity level and itinerary
the maximum age to participate is 55 years old.

Registration Options

NSLS Member Tuition ($3,030.00)
2-3 people per room of the same gender identification sharing a room with a private bathroom
$2995 Tuition plus the one-time $35 registration processing fee
Non-NSLS Member Tuition ($3,430.00)
2-3 people per room of the same gender identification sharing a room with a private bathroom
$3395 Tuition plus the one-time $35 registration processing fee

Once you submit the registration form you will receive a Confirmation Letter.
*The $35 (non-refundable) Registration Processing Fee is included in your $350 initial deposit payment.

Running Total

$0.00

Payment Processing Fee (non-refundable)

$35.00

Total

$35.00

If you prefer to room with someone specific, please enter name here. If not, we will try to place you with another registrant(s) of your preferred gender identification.

If you have requested a specific roommate, please indicate what bed configuration you would like.

Shared Bed
Separate Beds

What is your gender identification? ie. female, male, non-binary etc.

Which gender identity do you prefer to room with? If you have named a roommate please enter n/a.

Would you be willing to stay in gender-inclusive rooming?

What is your University and/or Society Chapter name? ie. Arizona State

Do you have a valid Passport? Please check with your country's State Dept. for guidelines. Peru requires passports have to 6 months of validity after your departure from Peru.

How did you hear about this program?

For your wellbeing, and that of the group, we ask all participants to disclose
any existing medical conditions or limitations on this form.

Emergency Contact Name (Name of family member or friend)

Emergency Contact Phone Number

Dietary Restrictions - Our venues can accommodate common dietary needs such as vegetarian, vegan, celiac, gluten free, etc. If you have a very strict diet you must adhere to, this may result in additional fees to cover personalized meals apart from the included group meals.

Dietary Restrictions - Please check off the boxes that apply to you.

I do not have any dietary restrictions
Vegetarian
Vegan
I have Celiac disease. I need to be concerned with cross-contamination.
I prefer a low-gluten diet. I am not concerned about cross contamination.
I have a gluten sensitivity. I am not concerned about cross contamination.
Other ie. Food allergies - please list below

If you answered 'Other' to the dietary question above please add more details here.

How would you rate your physical endurance on a scale of 1-10 (10 being excellent)?

Sex

Female
Male
I prefer not to say

Do you have any physical limitations that may impact your ability to participate in physically demanding activities?

Do you have any Medical Conditions or Car Sickness?

Please list any medical conditions or physical limitations that we should be aware of and/or any medications you are currently taking.

Have you experienced depression, an eating disorder, drug/alcohol addiction, anxiety disorder, PTSD, mania or any other mental or emotional condition?

If you are currently under the care of a health professional, please discuss your attendance with your doctor. It is important to be in a stable period of mental and physical well-being and have adequate self-regulatory and self-care resources to attend an international retreat.

If upon reflection on the points above you would like to speak with a True Nature representative or the leader, please contact us directly.

What are your goals for your program week?

Travel Information

This trip has NOT YET been officially confirmed. Please wait to purchase your airfare until we send you the ‘Book your Tickets’ letter. We ask that you provide your travel details no later than 11 weeks before your trip.

Travel Insurance

We strongly recommend that all participants purchase travel insurance.

Click here to view information about our Travel Insurance partners.

After you register, you will receive a confirmation letter with a link to purchase travel insurance and protect yourself from losses due to unforeseen circumstances.

Terms & Conditions

Please review our Terms and Conditions. You are required to sign and check the boxes below to signify that you agree with the Terms and Conditions before your registration can be submitted.

Terms & Conditions

I, the undersigned, agree to the terms above.

By checking this box, I agree to the above Terms and Conditions, including True Nature Education's Cancelation Policy.*

By checking this box, I confirm that I have reviewed the travel insurance options above. I also understand it is my responsibility to research and purchase travel insurance to protect my trip investment.*

If you would like to download a copy of the Terms and Conditions and Code of Conduct for your records, click here.

Coupon or Voucher Code

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

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