Honduras - Healing with the Elements Contact Complete this form to register!Contact InformationFirst NameLast NameEmailPhone/MobileAddress InformationAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweImportant Travel & Dietary RequirementsPassport number & Country of OriginPassport expiration (**For Honduras your passport can not expire within 3 months of your travel date)Emergency Contact - Name, relationship, and phone numberAllergies or other medical concerns we should be aware of:Let us know your Dietary Requirements for meals (vegan, vegetarian, gluten-free, food allergies)May we have permission to use pictures of you taken on the retreat for promotion on websites and other social media sites such as Facebook, twitter, Instagram? Yes NoTerms & ConditionsAll fields are required to be marked as YESPlease mark that you have read and understand the following terms:I understand that the cost of this retreat includes my accommodation, all meals, filtered drinking water, transportation to and from the airport, and retreat supplies unless indicated prior. YesI understand that this retreat is at a small, semi-rustic resort with elements of the jungle and the sea. It will be held outdoors on an outdoor yoga platform. I will come prepared for the weather, which can alternate from hot, sunny, and humid with occasional rain to cooler and windy. YesI understand that the Cost of the trip DOES NOT include airfare, accommodations prior to or after your retreat, passport & visa requirements, medical, hospital, and evacuation costs (Supplemental trip, accident, and baggage insurance is available from travel companies and is recommended.) Also not covered are specialty drinks, tips for wait staff, massage/spa services, and excursions on your day off. YesI understand that trip cancellation insurance is strongly recommended to protect against loss due to accident or illness of you or your family members. YesI understand that there will be a pre-retreat group meeting via zoom 3 to 4 weeks prior to the retreat. YesI understand that a non-refundable deposit of $500 and non-refundable extra night fees are due at the time of booking. The next payment of $1500 is due on November 1, 2025 The final payment of the remaining balance is due on December 1, 2025. You will receive an invoice before the due date. If you are registering for the retreat after either payment is due, you will be invoiced for the full amount right away. YesI understand that Cancellation, regardless of reason, results in the loss of the applicable deposit and additional night fees. From 60 days before departure, 60% of the full tour cost is non-refundable, and no refunds will be granted 30 or fewer days before departure. All cancellations must be in writing. We reserve the right to cancel the retreat before departure, in which case a full refund of monies paid for the retreat costs will constitute full settlement of all claims. We are not responsible for any costs incurred by trip members (i.e., non-refundable” advance airline ticket purchases, medical exams, and passport and visa fees). YesResponsibility Waiver Clause: I understand that I assume all risk of loss, including, but not limited to, injury, property loss, damages, or financial loss arising out of or relating to this retreat. We accept no responsibility for losses or additional expenses due to delays or changes in air or other services, sickness, weather, strike, war, quarantine, or any other cause. The retreat participant shall bear all such loss or expense, which is why travel insurance is strongly urged. I agree to release Jenny and Dan Schiltz from all responsibility and liability for unforeseen circumstances and/or acts of God (weather, earthquakes, etc.), acts of terrorism and political unrest, and any other unforeseen events or mental/physical illnesses occurring during the retreat dates. YesI agree that all information provided on this page is true to the best of my knowledge. By participating in this retreat, I acknowledge that I have read and agreed to the above terms and conditions.Room OptionsPlease Select your room options below:Only the $500 Deposit and additional days payment is due upon registration.If you are coming as a couple or two friends sharing a bed, please select a private room and then add another person. Room Options SHARED - 2 queen beds - No direct ocean view - 8 available PRIVATE - 1 queen bed - Cliffside above water - 3 available PRIVATE - 1 king bed - Hillside with water views - 4 availableTravel Options# - All inclusive rate Additional Day: Arrive 1 day before retreat commences - $325 Additional Day: Leave 1 day after retreat end - $325Add a person to your room? Yes NoTravel Options#: Additional days include meals, non-alcoholic beverages, resort access, and snorkeling gear.Seconday ContactPlease provide information on the person you're adding to the room.First NameLast NamePassport number & Country of OriginPassport expiration (for Hondorus passport expiration must be greater than 3 months from the travel date)Allergies or other medical conditions we should be aware of?Let us know your Dietary requirements for meals (vegan, vegetarian, gluten-free)Additional Person: Arrive 1 day before retreat startsAdditional Person / One Day Early $250.00Additional Person: Arrive 1 day after retreat endsAdditional Person / One Day After $250.00Deposit for Share AccommodationDeposit for Share Accommodation Price: $500.00Deposit for Private Room / One Person RegisteredDeposit for Private Room Accommodation Price: $500.00Deposit for Private Room / Two People RegisteredDeposit for Private Room Accommodation Price: $1,000.00No payment items has been selected yetCouponApply CouponPayment Method Pay with Card (Stripe) Pay with PayPalPay with Card (Stripe)Submit Form x