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Havana Retreat Questionnaire


It all started when…

...you signed up for this life changing journey in Havana, Cuba, to reclaim your femininity.

To help us make your stay comfortable we ask that you fill this questionnaire and send it back to us as soon as possible.  Then let us do the rest...


Name *
Name
Your mobile number *
Your mobile number
Will you have it with you in Cuba? *
Do you have any food restrictions that we need to know about? (If not, please type N/A)
Do you have any medical conditions that we need to know about? (If not, please type N/A)
Date of your arrival in Havana *
Date of your arrival in Havana
Please indicate if am or pm
Please provide your: - Airline - Flight number - City of departure If connecting, ONLY of the final flight!
Date of departure *
Date of departure
Please indicate if am or pm
Passport - valid *
At the time of travel your passport will be valid for at least 6 months?
Medical insurance *
I have purchased medical insurance and I have a one page summary in English
Visa *
I have organized the visa for Cuba - I either have it or will get it during my travel (Air Canada on the plane, Mexico at the gate)
Anything else we need to know? Anything you need to communicate with us? Anything that could rub you the wrong way that we should know about?