Immerse Me Name * First Name Last Name Business Name * Where Are You Based? * Email * Phone * (###) ### #### How Many Travelers? * 1 2 How Would You Like To Room? * Alone With A Roomie Either Are You A Light Sleeper? * Do You Get Car Sick Or Motion Sick? * Yes No Sometimes Do You Have Any Physical Restrictions For Activities? * I can't walk a lot - I'm pregnant - I am not very stable so if theres no paved path I'm out Would You Like To Partake In Michelin Night? * Of Course No Thanks Possibly Do You Drink Alcohol? * Yep Nope Sometimes Do You Have Any Dietary Restrictions? * Are You Planning On Staying In Scotland A Little Longer After Immerse Retreat? * What Other Destinations Are You Intersted In? * Is There Someone You Think Would Be A Good Fit For Future Immerse Retreats? * I acknowledge Immerse is a personally curated retreat and there is a $550.00 USD nonrefundable planning fee I acknowledge Hites Travel (aka Immerse Retreat) is in no way responsible for any clients items that are lost, stolen or damaged during travel or during the retreat. I acknowledge Hites Travel (aka Immerse Retreat) will not be liable for any injuries to clients while traveling or during the retreat I acknowledge that I am responsible for all payments for hotels, vendors, suppliers, activities, transportation, food and beverages. I acknowledge Hites Travel (aka Immerse Retreat) is not responsible for any flight, delays, cancellations, changes or weather inconveniences that my effect the length of this retreat or your ability to participate in certain activities. I acknowledge if I decided to cancel retreat attendance, I am subject to the cancelation policies of each supplier (hotels, tour, etc.) – respectively. I will pay supplier penalties for cancellations according each supplier’s guidelines. Hites Travel (aka Immerse Retreat) is not responsible for the facilitation of refunds, or issuance of credits between myself and suppliers. I acknowledge I can not cancel my Immerse Retreat attendance past 30 days prior to retreat start date without penalty of full payment for retreat accommodations, transportation and activities Thank you!