TRAVELERS MUST HAVE PROPER TRAVEL DOCUMENTS For international travel, U.S. CITIZENS MUST HAVE A VALID PASSPORT. NON-U.S. CITIZENS and RESIDENT ALIENS should contact their respective embassies and U.S. Immigration for applicable visas and regulations. SUBMIT ONLY ONE REGISTRATION FORM PER ROOM Select Your Room Category: --Select One-- Standard Room Package($1,178 per person) Garden Room Package($1,216 per person) Deluxe Room Package($1,239 per person) Pool View Room Package($1,252 per person) OceanView Room Package($1,298 per person) Solo Standard Room Package($1,500) Solo Garden View Room Package($1,524) Solo Deluxe Room Package($1,558) Solo Pool View Room Package($1,613) Solo Ocean View Room Package($1,680) Double Standard Room Only($917 per person) Double Garden Room Only($967 per person) Double Pool View Room Only($1,049 per person) Double Ocean View Room Only($1,109 per person) What airport will you be departing from?*(Type your departure airport and city below.)Which activities would you like to participate in?*Private Sunset Catamaran Cruise (Mandatory) – $130Ponderosa Adventure Park – $75Volcano Hike & Hot Springs – $125Nicaragua Day Trip – $190Waterfall Adventure Day – $135ATV Adventure Tour – $90I plan to relax at the resort only (no additional excursions)(You may select more than one. The Sunset Catamaran Cruise is mandatory for all guests.) TRAVELERS FOR THIS ROOM TRAVELERS MUST USE THEIR LEGAL NAMES AS THEY APPEAR ON THEIR PASSPORT. TRAVELER one Gender ---Please Select--- male female other U.S. citizen ---Please Select--- yes no Date of Birth TRAVELER two Gender ---Please Select--- male female other U.S. citizen ---Please Select--- yes no Date of Birth ADD ADDITIONAL TRAVELER Cancellation Policy: Air-Inclusive Packages (Flight + Hotel) On or before September 28, 2026 (4+ days prior to departure):$100 per person cancellation fee plus any applicable airline, hotel, or supplier penalties. September 30, 2026 – October 3, 2026 (3 days or less before departure):100% nonrefundable. Basic Economy airline tickets are typically nonchangeable and nonrefundable once ticketed. Land-Only Bookings (Room-Only) Cancellation penalties are subject to the hotel and supplier policies and may vary based on the timing of cancellation. Important Notes All deposits are nonrefundable. Travel insurance is strongly recommended to protect your investment and reduce potential financial loss due to unforeseen circumstances. Travel Protection Travel insurance is highly recommended to protect your trip and investment against unforeseen circumstances. You may choose from the following plan: Travel Protection Plan – $145 Per Person This plan includes: Trip Cancellation – Up to 100% of the trip cost (amount purchased) Trip Interruption – Up to 150% of the trip cost Emergency Medical Coverage – Up to $25,000 per person Emergency Medical Transportation – Up to $500,000 Travel Delay Coverage – Up to $800 Missed Connection Coverage – Up to $800 Baggage Coverage – Up to $1,000 for lost, stolen, or damaged baggage Baggage Delay – Up to $300 Change Fee Coverage – Up to $250 Frequent Flyer Miles Redeposit Fee – Up to $250 24-Hour Travel Assistance Services Children 17 and under may be included when traveling with a covered adult DO YOU UNDERSTAND YOUR TRAVEL INSURANCE OPTIONS? ---Please Select--- Yes No DO YOU WISH TO PURCHASE TRAVEL CANCELLATION INSURANCE? ---Please Select--- Yes No BILLING & TICKETING INFORMATION Card Type VISA MC AMEX DISCOVER Expiration Date Month January February March April May June July August September October November December (+)add another card SPECIAL REQUEST OR ADDITIONAL INFORMATION Another amazing travel opportunity brought to you by: For more information, contact (754) 900-7205 info@chasingjourneys.com Florida Seller of Travel Ref. No. ST15578 - CST 2090937-50 - Washington UBID No. 603189022 - Iowa Registered Agency No. 1202