Application Form

Family Guest Inquiry

Flexible Dates

We ask for a minimum stay of 10 nights so that a true taste of PachaMama can be experienced.

* These fields are required

1 Choose the dates of your stay

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Guest 1		First Name* Last Name* Email* Gender*
Guest 1		First Name* Last Name* Email* Gender*

After completing this form, emails will be sent to everyone in your group to complete their information.

First Name *
Last Name *
Email *	Please use this email for all future registrations/payments/inquiries
Confirm email *	re-type email address and confirm it is correct.
Country *
Birth Date *
Gender *
Accommodation preference (1st choice) *
Accommodation preference (2nd choice)	If 1st choice is not available
What pulls you to come to PachaMama? *	please let us know in 200 words or so.
Have you lived in community before? *	Please share the benefits and the challenges you experienced.
Do you have experience with Meditation, Silence or other spiritual practices? *	Experience required but is one of the pillars of PachaMama.
Travel Companion(s) in same accommodation *	Please enter: Name, Relationship and Email-address of all adults
Your children's ages *	Please provide your children's ages to assist us in finding suitable accommodation for your family
Family Medical History *	In order to make sure we can support you and your family Please inform us of any health or psychological conditions and medications.
Comments or Special Requests	We cannot guarantee that it can be fulfilled
Email newsletter	Please send me the email newsletter
Cancellation policy agreement *	With your registration you agree to our terms and conditions.See our Cancellation Policy here