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Celtic Ireland, 13 day Sacred Journey Tour! June 11-24th 2026

To Return to the Shaloha Event Page Click Here - Your registration is NOT complete until this page is submitted. The button is at the bottom of the Form.
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Registration Payment Per Person - Please Only Fill out the Form if You have Read the Registration Options Section.

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View Payment Plans(the plan to match the option you are registering for):

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Participant Information
(Name as it appears on your Passport)

Title (e.g. Mr., Mrs., Ms.)

First Name

Last Name

Name of your companion if you are traveling with one (Double Room only)*

Date of Birth (M/D/Y)

Place of Birth

Postal Address

Street Address

City

Province / State

Postal / Zip Code

Country

Contact Information

Work Phone

Home Phone

Mobile Phone

Email

Passport Information

Passport Number

Nationality

Date of Issue (M/D/Y)

Place of Issue

Date of Expiry (M/D/Y)

Profession

Emergency Information

Please enter the name and contact info of a close family member or friend who will NOT be traveling with you.

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Email

Emergency Contact Relationship to Traveler

Health Information

What is your general state of Health?

List any medical, physical, dietary, limitations or allergies

Primary Physicians Name

Primary Physicians Phone Number

List any RX Medications

Meal Preference

Meal Preference
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C

Snoring, Smoking

All Roommates want to be happy: 
If you have either of the following, you will need to book as a Single due to potential disruption to a roommate. We cannot change from Double to Single while on the tour. Thank you for letting us know in advance.

Snoring, SmokingAll Roommates want to be happy: If you have either of the following, you will need to book as a Single due to potential disruption to a roommate. We cannot change from Double to Single while on the tour. Thank you for letting us know in advance.

AGREEMENT TO TERMS & CONDITIONS

For Terms, Conditions and Policies, read this section on this page: https://elephant-carnation-6cas.squarespace.com/events-all/elan-ireland-2026 - Tour Dates, Delays, Route Changes and Cancellations, including: TOUR DATES, DELAYS, ROUTE CHANGES AND CANCELLATION IMPORTANT NOTE CONSUMER DISCLOSURE NOTICE RELEASE OF LIABILITY AND ASSUMPTION OF RISK SPECIAL NOTE Your typed name will act as your signature. These terms, conditions, and policies may not be challenged nor negotiated. Herein you make a full agreement.

Terms, Conditions, Cancellation Policy Accepted

Traveler - Your Full Name

Traveler - Signature

Signature

Date (M/D/Y)

Notes

A copy of this registration form will be sent to your e-mail. If you have not received it shortly after you submit the form, please check your SPAM, TRASH or PROMOTIONS folders. Email*: [email protected] *Email is our primary and preferred form of communication for the tour and all related aspects of the trip. This ensures the best clarity and record keeping for all communications. We will reply to your emails as soon as possible and in the order they are received. Thank you for your understanding! After submitting this form, please send a short e-mail letting us know you have registered, to: [email protected]

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