North to South Immersion Guest Information

Traveler Information

Full Name(Required)

Enter your name as listed on your passport.

First Middle Last Suffix

I am(Required)

18 years of age or older

Under 18 years of age

Birthday(Required)

Your Email Address(Required)

Name of Parent/Guardian(Required)

First Last

Email of Parent/Guardian(Required)

Mobile Phone(Required)

Enter Country Code (+1)

Do you have WhatsApp?

Yes

No

Passport Number:(Required)

Expiration Date(Required)

Nationality(Required)

Arrival Information

If you have a connecting flight, please enter the flight information for the leg that ends in Morocco.

Please select your pick-up location:

Arrival Date

Arrival Time

:

Airline(Required)

Flight Number(Required)

Pick Up Information

Please provide the name and address of the hotel where you will be staying and any other pertinent information (date/time of pick-up, etc).

Departure Information

If you have a connecting flight, please enter the information for the leg that departs from Morocco.

Please select your drop-off location:

Departure Date

Departure Time

:

Departure Airline

Departure Flight Number

Drop-off Location

Please provide the name and address of your drop-off location.

Other Information

Do you have any medical issues that we should be aware of?(Required)

Yes

No

Please list any medical issue:

Do you have any dietary restrictions?(Required)

Yes

No

Please List Dietary Restrictions

Are you celebrating anything on this trip?(Required)

Yes

No

What are you celebrating?

Emergency Contact Information

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

Please include country code (e.g. +1)

Emergency Contact Email(Required)

Travel Insurance Information

Have you purchased travel insurance?(Required)

Travel Insurance Company(Required)

Phone Number(Required)

Please include country code (e.g., +1)

Policy Number(Required)

Email

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