How many people in your party will be sharing accommodations?
*
Full Name, as it appears on your passport
*
Roommate/Companion's Name
*Note: Your companion may pay separately.
We need this info, so we book you in the correct room.
If you wish to pay together, simply enter the quantity "2" in the
quantity field at the end of the form.
*
If you are traveling alone, please change the first answer
Choose Package
Zancudo Package
Iguana Package
Tortuga Package
*
Choose your accommodations
Quick hotel choice list
*NOTE: At this time, Mal Pais / Santa Teresa does not have a choice in accommodations.
Please Select
Casa Tucan
Casa Tucan Suite
Arco Iris
Harbor Reef Suite
Casa Romantica
L'acqua Viva Resort & Spa - Low Season Special (5/1-10/31)
L'acqua Viva Resort & Spa
The Harmony Hotel, Cocos Room
The Harmony Hotel Cocos Room - Low Season Special (5/1-10/31), Cocos Room
The Harmony Hotel, 1-Bedroom Suite
The Harmony Hotel Suite - Low Season Special (5/1-10/31), 1-Bedroom Suite
Date you would like to join us
please enter the first day of your trip - packages based on a 7 night stay
Select Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Select Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Year
2009
2010
2011
*
T-shirt Size
choose one
xs
small
medium
large
xl
xxl
What is your Occupation?
Age
Weight
(optional, but this will help us provide
the proper equipment)
Level of surfing ability
choose one
none
a few lessons
fair
intermediate
experienced
Choice of (5) yoga classes or (1) full body massage
*NOTE: Iguana and Tortuga package includes (1) full body massage and the choice of (5) yoga classes OR (1) additional full body massage. Please choose which service in addition to 1 full body massage you would like in
the drop down box to your right.
choose one
(5) yoga classes
(1) full body massage
*
Emergency Contact #1
name and phone number
Emergency Contact #2
name and phone number
25% deposit required to book this trip,
click here to calculate your 25% deposit
Select
Calculate Deposit
*
Since you are only paying a 25% deposit to secure your reservation,
we will need to automatically charge your credit card
the balance 45 days prior to your trip
Select
I agree
*
Please enter the CVV code from the credit card you will be using to pay (we need this to charge airfare if applicable and/or the balance of your trip 45 days out)
What is this?
*
You will pay 25% of your trip today:
$
Quantity
*Note: Your companion may pay separately or together.
If you wish to pay seperately, please have your companion sign-up online and name you as their companion.
1
2
Any Medical Conditions/Allergies?
Any additional details or special requests?
I have read and agree to the disclaimer*