Profound Life Wellness

Name *

First Name

Last Name

Cell Phone *

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Room Preference *

I prefer a DOUBLE OCCUPANCY room and will share a room.

I prefer a SINGLE OCCUPANCY room and agree to pay the supplemental cost of $300 (limited availability).

Bed Preference *

My roommate and I will need TWO BEDS

My roommate and I prefer one bed if possible.

Smoking and Vaping Notice *

Smokers will be required to upgrade to a single occupancy room unless they come with or arrange in advance a roommate that agrees to share lodging.

I WILL smoke or vape once or more while on the journey. I AGREE to the single occupancy fee or I will provide a smoking roommate.

I WILL NOT smoke or vape at any time.

Agreement *

By submitting this form, I acknowledge that the $500 deposit to register for the Soul Retrieval in Teotihuacan, Mexico is non-refundable unless cancelled by the organizer. I understand my deposit will be applied toward this program and and is not transferable. Please check BOTH boxes.

I have read and understand the agreement

I'm over the age of 18

Agreement *

I acknowledge that smoking and vaping are not permitted during group activities, and while on shared transportation.

I have read and understand the agreement.