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36-hour “Road Trip” getaway registration

Please complete the form below

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TO COMPLETE REGISTRATION PLEASE PAY $620 BY VENMO TO @CAMPLISATRAVEL

Name

Phone number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthday

List who you are coming with:

This trip includes a good amount of walking - keep that in mind.

Awesome!

This doesn't work for me

Do you take time for yourself, please elaborate - how, when:

What do you want to gain from this trip? Please elaborate.

Are you prepared to participate in all planned adventures?

If you accept this waiver, please initial below

By paying this invoice, you agree to fully indemnify and hold harmless Camp Lisa Travels, LLC and its members and managers for any claim, loss, damage, or death related to or arising from the activities proposed by Camp Lisa Travels, LLC. Camp Lisa Travels, LLC does not guarantee, warrant or represent that any of the activities recommended are safe, reliable, or even open at the time. Of course, Camp Lisa Travels, LLC has made, or will make, all reasonable efforts and inquiry to recommend the best places to you and your family. Camp Lisa Travels, LLC is not a travel agency. Instead, Camp Lisa Travels, LLC simply recommends places and activities for you and your family to go to make the best of your trip, based on the experience and/or research of the Camp Lisa director and her team. You agree that any and all claims arising from or related to your Camp Lisa Travels itinerary or trip shall exclusively be brought in arbitration in Miami, Florida, with the American Arbitration Association (AAA). The laws of the State of Florida shall exclusively govern this agreement, notwithstanding any conflict of law.

Emergency contact name

Emergency contact relationship

Emergency contact phone number

Please list any/all allergies

Please list all medical conditions.

36-hour “Road Trip” getaway registration

Please complete the form below

TO COMPLETE REGISTRATION PLEASE PAY $620 BY VENMO TO @CAMPLISATRAVEL

TO COMPLETE REGISTRATION PLEASE PAY $620 BY VENMO TO @CAMPLISATRAVEL

IN ORDER TO SECURE YOUR SPOT - YOUR REGISTRATION/PAYMENT WILL BE COMPLETE ONCE YOUR ENTIRE GROUP HAS BEEN PROCESSED.

MIAMI, FLORIDA