Full Name (as per ID) *

First Name

Last Name

WhatsApp Number (with country code) *

Country

(###)

###

####

Emergency Contact (not traveling with you) *

Who can be reached if needed for emergency

Country

(###)

###

####

Arrival Date

MM

DD

YYYY

Exp Arrival Time

Check-in time is 2 pm

Hour

Minute

Second

AM PM

Mode of Arrival *

Local taxi (contact shared by Vaatalya)

Self Drive

Own Taxi

Departure Date

MM

DD

YYYY

Departure Time

Check-out time is 11 am

Hour

Minute

Second

AM PM

Agreement *

Read Carefully

I confirm my details are correct and agree to Retreat House Rules as shared with me.

I understand that Vaatalya is wild & off-grid, and my safety is my own responsibility.