In order to complete your registration, we just need a little more information. Please scroll down and fill out the form so we can learn more about you: If you have trouble with this form or have additional questions, you can contact Laura by email at firstname.lastname@example.org Camino de Santiago Registration Form Personal InformationFirst Name*Last Name*Email Address* Phone Number*Cell PhoneBest method and best time to contact you (if it’s by phone, include your time zone):*Passport InformationIn the spaces below, enter your name exactly as it appears on your passport, as well as your passport number, the country that issued the passport, and the expiration date. (Your passport needs to be valid for six months beyond the time of our trip). If you’re in process of renewing your passport, just tell us in the box below!Your Passport First Name(s)*Your Passport Surname(s)*Passport Number*Passport Expiration Date*Country That Issued Your Passport*If you are in the process of renewing your passport, please give details below:AccommodationsOur hotels are small with a limited number of rooms, so all accommodations on this trip are being booked double-occupancy. Do you have a roommate in mind, or do you want us to try to pair you up with someone?*Learning About YouSpecifically, how did you learn about this trip?*What attracted you to this particular travel adventure with Laura and Brenda? Why this trip? Why the Camino?*What are your expectations of this trip?*What do you hope to gain from this pilgrimage?*Learning More About YouWhat's Your Birthdate?Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Your Occupation?*Your Hobbies and Interests?*Describe your previous travel experience.*Describe your relationship to writing and to sketching. (It’s fine to be new at either or both disciplines.)*Health, Fitness and DietAre you a smoker?*Please describe your health, noting any allergies or conditions you have, or medication you take, as well as anything else we should be aware of that might impact your participation in this trip.*Describe your hiking experience and your general level of fitness and activity.*Have you ever been on a multiple-day hiking trip?* Yes No Describe your experience.Do you regularly exercise?* Yes No What kind of exercise do you do and how many days a week?Are you willing to commit to training for this hiking trip? (We will provide a training schedules and tips for getting in shape.)Do you have any dietary restrictions? Yes Please describe. I understand that if I am vegan or gluten free, there will be limited food options on the trail and I may need to bring food from home to supplement what’s available. Emergency ContactIn case of emergency, who should we contact. Include ALL relevant contact information.*TravelWould you like to work with our travel agent to arrange your transportation to and from Spain and/or to help purchase travel insurance?* Yes please. No thank you. Travel InsuranceMedical coverage, evacuation and trip cancellation insurance are required for this trip.*I understand that I am making a non-refundable deposit and that the remaining payments I make for this trip are refundable only on a graduated basis. Trip cancellation insurance is required and necessary to protect my investment. I understand. I will choose and purchase travel insurance within two weeks of registering for this trip. Important!We want to be sure you have a chosen a trip that meets your expectations.* I have read the itinerary and physical requirements and have or will have the conditioning required for the trip. NameThis field is for validation purposes and should be left unchanged.