Adventure Quests
International
Xochicalco

Register for your Quest today!

Adventure Quests Registration Form

Before registering, please read "What is an Adventure Quest?"

To register, please fill out this form. (Please complete at least everything marked with an "*".)

* Participant Full Name:
Name you would like to be called:
* Gender:Male   Female
* Birthday:,

* Street Address:
* City:
State/Province:
...other state/province:
Country:
* ZIP/Postal Code:

* Home Phone:
Work Phone:
Cell Phone:
Fax:
* Email:

List any special dietary concerns:

Please let us know of any physical challenge, health condition, current medication, or psychological/ emotional condition that could affect your ability to participate:

* Emergency Contact Name:
*Their Home Phone:
*Their Cell or Other Phone:

I will be attending by myself:
Yes   No
I will be attending with a friend/spouse:Yes   No
I would like to share a room with friend/spouse:Yes   No
If sharing room, type of bed preferred:Single   Double
Name of friend/spouse:

*Choose a workshop date & location:
Mexico, Jul 3-12, 2008
Mexico, Sept 26-Oct 5, 2008
Argentina, Nov, 2008
Comments:
How did you hear about us?
Please include name of publication where you saw our ad or friend that referred you.
The Continue button will take you to the page where you can select your payment method. We accept Visa/MasterCard/check/money order.

Note that all of your information will be secure & held strictly confidential.

Questions? Please email us.