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Thank you for your payment.

We’re so glad you’re going to hike the Camino with us!

You're almost set, but . . . .

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.

Camino de Santiago Registration Form

If you have technical difficulties with this form or have additional questions, you can contact Laura’s assistant, Jen, by email at jpeachtree23@gmail.com or call 330-421-0111 (Jen is on Eastern Time and is available most weekdays from 7 am PT/10 am ET until 3 pm PT/6 pm ET.)

"*" indicates required fields

Personal Information

First Name*

Last Name*

What first or nickname would you like on your nametag?*

Gender or Preferred Pronouns*

Email Address*

Phone Number*

Cell Phone

Best method and best time to contact you (if it’s by phone, include your time zone):*

Passport Information

In 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:

Learning About You

Specifically, how did you learn about this trip?*

What attracted you to this particular travel adventure with Laura, Brenda, and Andre? 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 You

What's Your Birthdate?*

Month

Day

Year

Your Occupation?*

Your Hobbies and Interests?*

Describe your previous travel experience. Let us know if you’ve been to Spain before.*

Describe your relationship to writing and to sketching. (It’s fine to be new at either or both disciplines.)*

Would you like to receive a free copy of Laura’s memoir, The Burning Light of Two Stars, winner of the Booklife Prize for Best Memoir of 2021? (NOTE: If you’re in the continental US, you’ll get a physical book. If you’re outside the continental US, you’ll get an e-book version.)*

Yes, please send me a copy of your memoir.

No, thank you. I don't need a copy.

Health, Fitness and Diet

Are you a smoker?*

Food options on the Camino are limited and you may find it challenging to find food to accommodate a special diet. Vegetarians will find plenty to eat. People who are gluten-free and vegans will have a much harder time balancing your diet. Depending on your restrictions, it may be possible to bring extra supplementary food yourself. Is there anything we should know about your diet and food limitations?*

Yes

No

Please describe.

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

Please describe your current exercise habits:*

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 special needs that could interfere with your full participation in this hiking trip?*

Yes

No

Please describe.

Have you ever experienced or been diagnosed with a mental or emotional condition that might impact your participation in this trip?*

Yes

No

Please describe.

Emergency Contact

In case of emergency, who should we contact. Include their name, their relationship to you, phone number(s), and email address.*

Travel Insurance

Medical coverage, evacuation, and trip cancellation insurance are required for this trip.*

I understand. I will choose and purchase travel insurance within two weeks of registering for this trip.

Physical Requirements

We want to be sure you have chosen a trip that meets your expectations.*

I have read the itinerary and the physical requirements for this trip, and I agree with all terms. I will be able to participate fully. (Links will open in a new window/tab.)

Anything Else?

Is there anything else you’d like us know in considering your registration?

Email

This field is for validation purposes and should be left unchanged.

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