Training date: Name:* First Last E-mail:*Emergency Contact:*Full name , address , phone number & email ___________________________________ACCOMMODATIONSDo you need accommodations?*YesNoIf 'YES' please select your accommodation: Please select Private Fan BungalowPrivate AC Room (add $160)___________________________________Payment & Cancellation PoliciesTerms and Conditions:*I read, agree and accept all Terms and Conditions specified in 'Payment & Cancellation Policies' listed on this website.Medical Release Consents: *I understand all the medical risks involved in this program and take fully responsibility of any unexpected consequences. Please check the box to agree.Deposit $300.00 USD*DepositWord Verification:Submit and Pay NowResetYou will be redirected to PayPal to make your deposit payment.