Full Name: *

Email: *

Contact Phone: *

Identification Document for your stay and air ticket:

Document Type: *
CC – Citizen IDCE – Foreigner IDPA – PassportPE – Special Stay PermitCD – Diplomatic IDTI – Identity card for minorsDE – Foreign Document

Document Number: *

Date of Birth: *

Address: *

City: *

Do you have an exclusivity contract with any Skincare/Beauty brand that would prevent you from posting content from our Wellness Retreat? *
—YesNo

Are you willing to post content about our Wellness Retreat on your social media? *
—YesNo

Would you like to be part of our Influencer Program?
—YesNo

*If your answer is positive, one of our representatives will contact you to provide more information.

Are you willing to stay for an extra day at the hotel to record a podcast?
—YesNo

What kind of diet do you follow? *
—VegetarianKosherHealthyI eat everything

Fields marked with (*) are required.