{"id":12555,"date":"2016-06-17T11:59:43","date_gmt":"2016-06-17T16:59:43","guid":{"rendered":"http:\/\/feathercrown.com\/?page_id=12555"},"modified":"2026-04-08T10:21:21","modified_gmt":"2026-04-08T15:21:21","slug":"registrierung","status":"publish","type":"page","link":"https:\/\/feathercrown.com\/de\/registration\/","title":{"rendered":"Registrierungsformular f\u00fcr das Feather Crown Ayahuasca Retreat"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; admin_label=&#8221;section&#8221; _builder_version=&#8221;4.27.6&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_header title=&#8221;Ayahuasca Retreat Registration&#8221; text_orientation=&#8221;center&#8221; admin_label=&#8221;13-day retreat with four Ayahuasca ceremonies in Ecuador&#8221; _builder_version=&#8221;4.27.6&#8243; title_text_align=&#8221;center&#8221; background_color=&#8221;rgba(0,0,0,0.47)&#8221; 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global_colors_info=&#8221;{}&#8221;]<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_1' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Ayahuasca retreat Registration form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/de\/wp-json\/wp\/v2\/pages\/12555' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Select the length of your retreat:<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_52'>\n\t\t\t<li class='gchoice gchoice_1_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='5-day short retreat'  id='choice_1_52_0'    \/>\n\t\t\t\t<label for='choice_1_52_0' id='label_1_52_0' class='gform-field-label gform-field-label--type-inline'>5-day short retreat<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='10-day full immersive retreat'  id='choice_1_52_1'    \/>\n\t\t\t\t<label for='choice_1_52_1' id='label_1_52_1' class='gform-field-label gform-field-label--type-inline'>10-day full immersive retreat<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_52_2'>\n\t\t\t\t<input name='input_52' type='radio' value='30-day traditional Shipibo dieta'  id='choice_1_52_2'    \/>\n\t\t\t\t<label for='choice_1_52_2' id='label_1_52_2' class='gform-field-label gform-field-label--type-inline'>30-day traditional Shipibo dieta<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Select the 10-day event you wish to book:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_43'>Note: If you select an event which is currently full, you will be placed into its waiting list and notified when a space frees up.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_43'>\n\t\t\t<li class='gchoice gchoice_1_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='August 10 - 19, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_0'    \/>\n\t\t\t\t<label for='choice_1_43_0' id='label_1_43_0' class='gform-field-label gform-field-label--type-inline'>August 10 - 19, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='October 5 - 14, 2026 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)'  id='choice_1_43_1'    \/>\n\t\t\t\t<label for='choice_1_43_1' id='label_1_43_1' class='gform-field-label gform-field-label--type-inline'>October 5 - 14, 2026 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_2'>\n\t\t\t\t<input name='input_43' type='radio' value='October 19 - 28, 2026 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)'  id='choice_1_43_2'    \/>\n\t\t\t\t<label for='choice_1_43_2' id='label_1_43_2' class='gform-field-label gform-field-label--type-inline'>October 19 - 28, 2026 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_3'>\n\t\t\t\t<input name='input_43' type='radio' value='November 23 - December 2, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_3'    \/>\n\t\t\t\t<label for='choice_1_43_3' id='label_1_43_3' class='gform-field-label gform-field-label--type-inline'>November 23 - December 2, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_4'>\n\t\t\t\t<input name='input_43' type='radio' value='January 11 - 20, 2027 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo). WAITING LIST ONLY RETREAT IS FULL'  id='choice_1_43_4'    \/>\n\t\t\t\t<label for='choice_1_43_4' id='label_1_43_4' class='gform-field-label gform-field-label--type-inline'>January 11 - 20, 2027 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo). WAITING LIST ONLY RETREAT IS FULL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_5'>\n\t\t\t\t<input name='input_43' type='radio' value='January 28 - February 6, 2027 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)'  id='choice_1_43_5'    \/>\n\t\t\t\t<label for='choice_1_43_5' id='label_1_43_5' class='gform-field-label gform-field-label--type-inline'>January 28 - February 6, 2027 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_6'>\n\t\t\t\t<input name='input_43' type='radio' value='February 13 - 22, 2027 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)'  id='choice_1_43_6'    \/>\n\t\t\t\t<label for='choice_1_43_6' id='label_1_43_6' class='gform-field-label gform-field-label--type-inline'>February 13 - 22, 2027 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_7'>\n\t\t\t\t<input name='input_43' type='radio' value='March 22 - 31, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_7'    \/>\n\t\t\t\t<label for='choice_1_43_7' id='label_1_43_7' class='gform-field-label gform-field-label--type-inline'>March 22 - 31, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_8'>\n\t\t\t\t<input name='input_43' type='radio' value='April 19 - 28, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_8'    \/>\n\t\t\t\t<label for='choice_1_43_8' id='label_1_43_8' class='gform-field-label gform-field-label--type-inline'>April 19 - 28, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_9'>\n\t\t\t\t<input name='input_43' type='radio' value='May 17 - 26, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_9'    \/>\n\t\t\t\t<label for='choice_1_43_9' id='label_1_43_9' class='gform-field-label gform-field-label--type-inline'>May 17 - 26, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Select 5-day event you wish to book:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_55'>Note: If you select an event which is currently full, you will be placed into its waiting list and notified when a space frees up.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_55'>\n\t\t\t<li class='gchoice gchoice_1_55_0'>\n\t\t\t\t<input name='input_55' type='radio' value='August 14 - 18, 2026 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_0'    \/>\n\t\t\t\t<label for='choice_1_55_0' id='label_1_55_0' class='gform-field-label gform-field-label--type-inline'>August 14 - 18, 2026 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_1'>\n\t\t\t\t<input name='input_55' type='radio' value='October 5 - 9, 2026 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_1'    \/>\n\t\t\t\t<label for='choice_1_55_1' id='label_1_55_1' class='gform-field-label gform-field-label--type-inline'>October 5 - 9, 2026 (5 days) $890 - Ceremonies led by Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_2'>\n\t\t\t\t<input name='input_55' type='radio' value='October 9 - 13, 2026 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_2'    \/>\n\t\t\t\t<label for='choice_1_55_2' id='label_1_55_2' class='gform-field-label gform-field-label--type-inline'>October 9 - 13, 2026 (5 days) $890 - Ceremonies led by Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_3'>\n\t\t\t\t<input name='input_55' type='radio' value='October 19 - 23, 2026 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_3'    \/>\n\t\t\t\t<label for='choice_1_55_3' id='label_1_55_3' class='gform-field-label gform-field-label--type-inline'>October 19 - 23, 2026 (5 days) $890 - Ceremonies led by Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_4'>\n\t\t\t\t<input name='input_55' type='radio' value='October 23 - 27, 2026 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_4'    \/>\n\t\t\t\t<label for='choice_1_55_4' id='label_1_55_4' class='gform-field-label gform-field-label--type-inline'>October 23 - 27, 2026 (5 days) $890 - Ceremonies led by Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_5'>\n\t\t\t\t<input name='input_55' type='radio' value='November 23 - 27, 2026 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_5'    \/>\n\t\t\t\t<label for='choice_1_55_5' id='label_1_55_5' class='gform-field-label gform-field-label--type-inline'>November 23 - 27, 2026 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_6'>\n\t\t\t\t<input name='input_55' type='radio' value='November 27 - December 1, 2026 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_6'    \/>\n\t\t\t\t<label for='choice_1_55_6' id='label_1_55_6' class='gform-field-label gform-field-label--type-inline'>November 27 - December 1, 2026 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_7'>\n\t\t\t\t<input name='input_55' type='radio' value='February 13 - 17, 2027 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_7'    \/>\n\t\t\t\t<label for='choice_1_55_7' id='label_1_55_7' class='gform-field-label gform-field-label--type-inline'>February 13 - 17, 2027 (5 days) $890 - Ceremonies led by Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_8'>\n\t\t\t\t<input name='input_55' type='radio' value='February 17 - 21, 2027 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_8'    \/>\n\t\t\t\t<label for='choice_1_55_8' id='label_1_55_8' class='gform-field-label gform-field-label--type-inline'>February 17 - 21, 2027 (5 days) $890 - Ceremonies led by Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_9'>\n\t\t\t\t<input name='input_55' type='radio' value='March 22-26, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_9'    \/>\n\t\t\t\t<label for='choice_1_55_9' id='label_1_55_9' class='gform-field-label gform-field-label--type-inline'>March 22-26, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_10'>\n\t\t\t\t<input name='input_55' type='radio' value='March 26-30, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_10'    \/>\n\t\t\t\t<label for='choice_1_55_10' id='label_1_55_10' class='gform-field-label gform-field-label--type-inline'>March 26-30, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_11'>\n\t\t\t\t<input name='input_55' type='radio' value='April 19-23, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_11'    \/>\n\t\t\t\t<label for='choice_1_55_11' id='label_1_55_11' class='gform-field-label gform-field-label--type-inline'>April 19-23, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_12'>\n\t\t\t\t<input name='input_55' type='radio' value='April 23-27, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_12'    \/>\n\t\t\t\t<label for='choice_1_55_12' id='label_1_55_12' class='gform-field-label gform-field-label--type-inline'>April 23-27, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_13'>\n\t\t\t\t<input name='input_55' type='radio' value='May 17-21, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_13'    \/>\n\t\t\t\t<label for='choice_1_55_13' id='label_1_55_13' class='gform-field-label gform-field-label--type-inline'>May 17-21, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_14'>\n\t\t\t\t<input name='input_55' type='radio' value='May 21-25, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_14'    \/>\n\t\t\t\t<label for='choice_1_55_14' id='label_1_55_14' class='gform-field-label gform-field-label--type-inline'>May 21-25, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Select the 30-day event you wish to book:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_54'>Note: If you select an event which is currently full, you will be placed into its waiting list and notified when a space frees up.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_54'>\n\t\t\t<li class='gchoice gchoice_1_54_0'>\n\t\t\t\t<input name='input_54' type='radio' value='October 5 \u2013 November 5, 2026 (30 days) $3700 - Led by Shipibo Maestro Sina'  id='choice_1_54_0'    \/>\n\t\t\t\t<label for='choice_1_54_0' id='label_1_54_0' class='gform-field-label gform-field-label--type-inline'>October 5 \u2013 November 5, 2026 (30 days) $3700 - Led by Shipibo Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_54_1'>\n\t\t\t\t<input name='input_54' type='radio' value='January 11 \u2013 February 11, 2027 (30 days) $3700 - Led by Shipibo Maestro Sina WAITING LIST ONLY, EVENT IS FULL'  id='choice_1_54_1'    \/>\n\t\t\t\t<label for='choice_1_54_1' id='label_1_54_1' class='gform-field-label gform-field-label--type-inline'>January 11 \u2013 February 11, 2027 (30 days) $3700 - Led by Shipibo Maestro Sina WAITING LIST ONLY, EVENT IS FULL<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_54_2'>\n\t\t\t\t<input name='input_54' type='radio' value='January 28 \u2013 February 28, 2027 (30 days) $3700 - Led by Shipibo Maestro Sina'  id='choice_1_54_2'    \/>\n\t\t\t\t<label for='choice_1_54_2' id='label_1_54_2' class='gform-field-label gform-field-label--type-inline'>January 28 \u2013 February 28, 2027 (30 days) $3700 - Led by Shipibo Maestro Sina<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_49\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Deposit non-refundability and even cancellation akcnowledgement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_49'><li class='gchoice gchoice_1_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='I am aware that the booking deposit is &lt;b&gt;non-refundable&lt;\/b&gt;. However any deposit &lt;b&gt;can be transferred&lt;\/b&gt; to another date if done at least 30 days before the originally booked event begins. The deposit can also be transfrerred to another person for free any time. In case the even in cancelled, the organizer issues a full refund of any depodsits, but is not responsible for covering any losses due to event being cancelled. In order to prevent any losses, a travel insurance or refundable flight tariff is recommended.'  id='choice_1_49_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_49_1' id='label_1_49_1' class='gform-field-label gform-field-label--type-inline'>I am aware that the booking deposit is <b>non-refundable<\/b>. However any deposit <b>can be transferred<\/b> to another date if done at least 30 days before the originally booked event begins. The deposit can also be transfrerred to another person for free any time. In case the even in cancelled, the organizer issues a full refund of any depodsits, but is not responsible for covering any losses due to event being cancelled. In order to prevent any losses, a travel insurance or refundable flight tariff is recommended.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Basic information<\/h2><\/li><li id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Your name:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub '>Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub '>Surname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_1_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>E-mail<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_1_2_container'>\n                                <span id='input_1_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2' id='input_1_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_1_2' class='gform-field-label gform-field-label--type-sub '>E-Mail eingeben<\/label>\n                                <\/span>\n                                <span id='input_1_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2_2' id='input_1_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_1_2_2' class='gform-field-label gform-field-label--type-sub '>E-Mail best\u00e4tigen<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_1_56\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_56'><span class='gform-field-label__text'>Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_56' id='input_1_56' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/li><li id=\"field_1_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Gender:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_8'>\n\t\t\t<li class='gchoice gchoice_1_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Male'  id='choice_1_8_0'    \/>\n\t\t\t\t<label for='choice_1_8_0' id='label_1_8_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='Female'  id='choice_1_8_1'    \/>\n\t\t\t\t<label for='choice_1_8_1' id='label_1_8_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_9'><span class='gform-field-label__text'>Age:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_1_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_6\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Residency<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gform-grid-row' id='input_1_6' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_6_3_container' >\n                                    <input type='text' name='input_6.3' id='input_1_6_3' value=''    aria-required='true'    \/>\n                                    <label for='input_1_6_3' id='input_1_6_3_label' class='gform-field-label gform-field-label--type-sub '>Stadt<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_6.4' id='input_1_6_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_1_6_6_container' >\n                                        <select name='input_6.6' id='input_1_6_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanien' >Albanien<\/option><option value='Algerien' >Algerien<\/option><option value='Amerikanisch-Samoa' >Amerikanisch-Samoa<\/option><option value='Amerikanische Jungferninseln' >Amerikanische Jungferninseln<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarktis' >Antarktis<\/option><option value='Antigua und Barbuda' >Antigua und Barbuda<\/option><option value='Argentinien' >Argentinien<\/option><option value='Armenien' >Armenien<\/option><option value='Aruba' >Aruba<\/option><option value='Aserbaidschan' >Aserbaidschan<\/option><option value='Australien' >Australien<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belgien' >Belgien<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivien' >Bolivien<\/option><option value='Bosnien und Herzegowina' >Bosnien und Herzegowina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvetinsel' >Bouvetinsel<\/option><option value='Brasilien' >Brasilien<\/option><option value='Britische Jungferninseln' >Britische Jungferninseln<\/option><option value='Britisches Territorium im Indischen Ozean' >Britisches Territorium im Indischen Ozean<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgarien' >Bulgarien<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Caymen Inseln' >Caymen Inseln<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Cookinseln' >Cookinseln<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Demokratische Volksrepublik Laos' >Demokratische Volksrepublik Laos<\/option><option value='Deutschland' >Deutschland<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominikanische Republik' >Dominikanische Republik<\/option><option value='D\u00e4nemark' >D\u00e4nemark<\/option><option value='Ecuador' >Ecuador<\/option><option value='El Salvador' >El Salvador<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estland' >Estland<\/option><option value='Eswatini' >Eswatini<\/option><option value='Falklandinseln' >Falklandinseln<\/option><option value='Fidschi' >Fidschi<\/option><option value='Finnland' >Finnland<\/option><option value='Frankreich' >Frankreich<\/option><option value='Franz\u00f6sisch-Guayana' >Franz\u00f6sisch-Guayana<\/option><option value='Franz\u00f6sisch-Polynesien' >Franz\u00f6sisch-Polynesien<\/option><option value='Franz\u00f6sische S\u00fcd- und Antarktisgebiete' >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value='Futuna (Wallis und Futuna)' >Futuna (Wallis und Futuna)<\/option><option value='F\u00e4r\u00f6er-Inseln' >F\u00e4r\u00f6er-Inseln<\/option><option value='Gabun' >Gabun<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenada' >Grenada<\/option><option value='Griechenland' >Griechenland<\/option><option value='Gro\u00dfbritannien' >Gro\u00dfbritannien<\/option><option value='Gr\u00f6nland' >Gr\u00f6nland<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard und McDonaldinseln' >Heard und McDonaldinseln<\/option><option value='Heiliger Stuhl' >Heiliger Stuhl<\/option><option value='Honduras' >Honduras<\/option><option value='Hongkong' >Hongkong<\/option><option value='Indien' >Indien<\/option><option value='Indonesien' >Indonesien<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irland' >Irland<\/option><option value='Island' >Island<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italien' >Italien<\/option><option value='Jamaika' >Jamaika<\/option><option value='Japan' >Japan<\/option><option value='Jemen' >Jemen<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanien' >Jordanien<\/option><option value='Kambodscha' >Kambodscha<\/option><option value='Kamerun' >Kamerun<\/option><option value='Kanada' >Kanada<\/option><option value='Kap Verde' >Kap Verde<\/option><option value='Karibische Niederlande' >Karibische Niederlande<\/option><option value='Kasachstan' >Kasachstan<\/option><option value='Katar' >Katar<\/option><option value='Kenia' >Kenia<\/option><option value='Kirgistan' >Kirgistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kokosinseln' >Kokosinseln<\/option><option value='Kolumbien' >Kolumbien<\/option><option value='Komoren' >Komoren<\/option><option value='Kongo' >Kongo<\/option><option value='Kongo, Demokratische Republik des' >Kongo, Demokratische Republik des<\/option><option value='Korea. Demokratische Volksrepublik' >Korea. Demokratische Volksrepublik<\/option><option value='Kroatien' >Kroatien<\/option><option value='Kuba' >Kuba<\/option><option value='Kuwait' >Kuwait<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettland' >Lettland<\/option><option value='Libanon' >Libanon<\/option><option value='Liberia' >Liberia<\/option><option value='Libyen' >Libyen<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litauen' >Litauen<\/option><option value='Luxemburg' >Luxemburg<\/option><option value='Macau' >Macau<\/option><option value='Madagaskar' >Madagaskar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Malediven' >Malediven<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marokko' >Marokko<\/option><option value='Marshall-Inseln' >Marshall-Inseln<\/option><option value='Martinique' >Martinique<\/option><option value='Mauretanien' >Mauretanien<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexiko' >Mexiko<\/option><option value='Mikronesien' >Mikronesien<\/option><option value='Moldawien' >Moldawien<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolei' >Mongolei<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mosambik' >Mosambik<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Neukaledonien' >Neukaledonien<\/option><option value='Neuseeland' >Neuseeland<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niederlande' >Niederlande<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Nordmazedonien' >Nordmazedonien<\/option><option value='Norfolkinsel' >Norfolkinsel<\/option><option value='Norwegen' >Norwegen<\/option><option value='N\u00f6rdliche Marianen' >N\u00f6rdliche Marianen<\/option><option value='Oman' >Oman<\/option><option value='Osttimor' >Osttimor<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Pal\u00e4stina, Bundesstaat' >Pal\u00e4stina, Bundesstaat<\/option><option value='Panama' >Panama<\/option><option value='Papua Neu Guinea' >Papua Neu Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippinen' >Philippinen<\/option><option value='Pitcairninseln' >Pitcairninseln<\/option><option value='Polen' >Polen<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Ruanda' >Ruanda<\/option><option value='Rum\u00e4nien' >Rum\u00e4nien<\/option><option value='Russische F\u00f6deration' >Russische F\u00f6deration<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint-Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Saint-Pierre und Miquelon' >Saint-Pierre und Miquelon<\/option><option value='Salomonen' >Salomonen<\/option><option value='Sambia' >Sambia<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Saudi-Arabien' >Saudi-Arabien<\/option><option value='Schweden' >Schweden<\/option><option value='Schweiz' >Schweiz<\/option><option value='Senegal' >Senegal<\/option><option value='Serbien' >Serbien<\/option><option value='Seychellen' >Seychellen<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Simbabwe' >Simbabwe<\/option><option value='Singapur' >Singapur<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovenien' >Slovenien<\/option><option value='Slowakei' >Slowakei<\/option><option value='Somalia' >Somalia<\/option><option value='Spanien' >Spanien<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='St. Helena, Ascension und Tristan da Cunha' >St. Helena, Ascension und Tristan da Cunha<\/option><option value='St. Kitts und Nevis' >St. Kitts und Nevis<\/option><option value='St. Lucia' >St. Lucia<\/option><option value='St. Martin' >St. Martin<\/option><option value='St. Vincent und die Grenadinen' >St. Vincent und die Grenadinen<\/option><option value='Sudan' >Sudan<\/option><option value='Surinam' >Surinam<\/option><option value='Svalbard und Jan Mayen' >Svalbard und Jan Mayen<\/option><option value='Syrien, Arabische Republik' >Syrien, Arabische Republik<\/option><option value='S\u00e3o Tom\u00e9 und Pr\u00edncipe' >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value='S\u00fcdafrika' >S\u00fcdafrika<\/option><option value='S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln' >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value='S\u00fcdkorea' >S\u00fcdkorea<\/option><option value='S\u00fcdsudan' >S\u00fcdsudan<\/option><option value='Tadschikistan' >Tadschikistan<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tansania, Vereinte Republik' >Tansania, Vereinte Republik<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad und Tobago' >Trinidad und Tobago<\/option><option value='Tschad' >Tschad<\/option><option value='Tschechien' >Tschechien<\/option><option value='Tunesien' >Tunesien<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks- und Caicosinseln' >Turks- und Caicosinseln<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkei' >T\u00fcrkei<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='Ungarn' >Ungarn<\/option><option value='Uruguay' >Uruguay<\/option><option value='Usbekistan' >Usbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vereinigte Arabische Emirate' >Vereinigte Arabische Emirate<\/option><option value='Vereinigte Staaten von Amerika' >Vereinigte Staaten von Amerika<\/option><option value='Vietnam' >Vietnam<\/option><option value='Weihnachtsinsel' >Weihnachtsinsel<\/option><option value='Wei\u00dfrussland' >Wei\u00dfrussland<\/option><option value='Westsahara' >Westsahara<\/option><option value='Zentralafrikanische Republik' >Zentralafrikanische Republik<\/option><option value='Zypern' >Zypern<\/option><option value='\u00c4gypten' >\u00c4gypten<\/option><option value='\u00c4quatorial Guinea' >\u00c4quatorial Guinea<\/option><option value='\u00c4thopien' >\u00c4thopien<\/option><option value='\u00c5landinseln' >\u00c5landinseln<\/option><option value='\u00d6sterreich' >\u00d6sterreich<\/option><\/select>\n                                        <label for='input_1_6_6' id='input_1_6_6_label' class='gform-field-label gform-field-label--type-sub '>Land<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_1_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'><span class='gform-field-label__text'>Passport number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_1_5' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_5\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_5'>If you don't have your passport yet, please fill \"0\" and give us your passport number later.<\/div><\/li><li id=\"field_1_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'><span class='gform-field-label__text'>Emergency contact (name, phone number):<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_1_12' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_30\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Health condition<\/h2><\/li><li id=\"field_1_14\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_14'><span class='gform-field-label__text'>What is your current health condition?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_1_14' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_51\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Do you currently suffer from any of the following health conditions?<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_51'><li class='gchoice gchoice_1_51_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.1' type='checkbox'  value='very high blood pressure'  id='choice_1_51_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_1' id='label_1_51_1' class='gform-field-label gform-field-label--type-inline'>very high blood pressure<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.2' type='checkbox'  value='severe diabetes'  id='choice_1_51_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_2' id='label_1_51_2' class='gform-field-label gform-field-label--type-inline'>severe diabetes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.3' type='checkbox'  value='schizophrenic disorder'  id='choice_1_51_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_3' id='label_1_51_3' class='gform-field-label gform-field-label--type-inline'>schizophrenic disorder<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.4' type='checkbox'  value='heart disease or any condition previously diagnosed indicating vulnerability to the heart'  id='choice_1_51_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_4' id='label_1_51_4' class='gform-field-label gform-field-label--type-inline'>heart disease or any condition previously diagnosed indicating vulnerability to the heart<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.5' type='checkbox'  value='epilepsy and other seizure related conditions'  id='choice_1_51_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_5' id='label_1_51_5' class='gform-field-label gform-field-label--type-inline'>epilepsy and other seizure related conditions<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.6' type='checkbox'  value='infectious or contagious disease'  id='choice_1_51_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_6' id='label_1_51_6' class='gform-field-label gform-field-label--type-inline'>infectious or contagious disease<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.7' type='checkbox'  value='suicidal ideation'  id='choice_1_51_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_7' id='label_1_51_7' class='gform-field-label gform-field-label--type-inline'>suicidal ideation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.8' type='checkbox'  value='use of MAO inhibitors or anti-psychotic medication'  id='choice_1_51_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_8' id='label_1_51_8' class='gform-field-label gform-field-label--type-inline'>use of MAO inhibitors or anti-psychotic medication<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.9' type='checkbox'  value='mental illness'  id='choice_1_51_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_9' id='label_1_51_9' class='gform-field-label gform-field-label--type-inline'>mental illness<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.11' type='checkbox'  value='drug addiction'  id='choice_1_51_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_11' id='label_1_51_11' class='gform-field-label gform-field-label--type-inline'>drug addiction<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.12' type='checkbox'  value='diagnosed terminal illness such as cancer'  id='choice_1_51_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_12' id='label_1_51_12' class='gform-field-label gform-field-label--type-inline'>diagnosed terminal illness such as cancer<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_16\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_16'><span class='gform-field-label__text'>Any medicines or supplements that you are currently using:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_1_16' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_17\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_17'><span class='gform-field-label__text'>Allergies:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_1_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_33'><span class='gform-field-label__text'>Please list any recreational drugs you are using regularly:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_1_33' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_33\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_33'>Enter \"none\" if you are not currently using any recreational drugs.<\/div><\/li><li id=\"field_1_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you currently pregnant?<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_35'>\n\t\t\t<li class='gchoice gchoice_1_35_0'>\n\t\t\t\t<input name='input_35' type='radio' value='Yes'  id='choice_1_35_0'    \/>\n\t\t\t\t<label for='choice_1_35_0' id='label_1_35_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_35_1'>\n\t\t\t\t<input name='input_35' type='radio' value='No'  id='choice_1_35_1'    \/>\n\t\t\t\t<label for='choice_1_35_1' id='label_1_35_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_1_35'>I understand that ayahuasca and all other sacred plants are purgatives and dangerous to consume while pregnant. If I become pregnant before the beginning of the tour, I understand that I am responsible for notifying Feather Crown and that I will not be able to ingest ayahuasca or any other sacred plant during pregnancy. I also understand that I will not be entitled to a refund.<\/div><\/li><li id=\"field_1_45\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Feather Crown Health Screening and Full Disclosure:<\/h2><\/li><li id=\"field_1_36\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox ginput_container gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>No supplements, no medications&quot; policy<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_36'>This retreat involves the ingestion of plant medicines that may be contraindicated with certain medical conditions, medications, or substances.\n\nAll herbal supplements, natural medicines, and medications (prescription and over-the-counter) taken within 30 days prior to the retreat, as well as during the retreat, must be fully disclosed to Feather Crown before the retreat begins.\n\nNo medications, supplements, or natural remedies may be taken during the retreat without the express written permission of Feather Crown.\n\nBy completing this application, you confirm that all information provided is true, complete, and current, and that you have fully disclosed all physical and psychological conditions, as well as all medications, supplements, and substances you are taking.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_36'><li class='gchoice gchoice_1_36_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.1' type='checkbox'  value='I agree to the Feather Crown Health Screening and Full Disclosure'  id='choice_1_36_1'   aria-describedby=\"gfield_description_1_36\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_36_1' id='label_1_36_1' class='gform-field-label gform-field-label--type-inline'>I agree to the Feather Crown Health Screening and Full Disclosure<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_46\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Feather Crown Medical Responsibility and Liability Waiver<\/h2><\/li><li id=\"field_1_37\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class='gform-field-label__text'>By checking the box below and typing my name, I confirm that:\n\nI have read and understood all provided medical and safety information\nI have fully disclosed all requested health and medical information\nAll information I have provided is true and complete to the best of my knowledge\n\nI understand that:\n\nFalsifying or omitting relevant information may result in denial of participation, with or without refund, at the sole discretion of Feather Crown\nAyahuasca and other plant medicines may be dangerous or life-threatening if combined with certain conditions or substances\nFeather Crown is not a medical facility\nIts owners, staff, employees, and agents do not practice Western medicine and are not licensed medical doctors\n\nI voluntarily assume full responsibility for my participation.\n\nI hereby waive, release, and hold harmless Feather Crown, its owners, staff, employees, and agents from any and all liability, claims, damages, or injuries that may occur in connection with my participation.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_37'>By checking the box below and typing my name, I confirm that:\n\nI have read and understood all provided medical and safety information\nI have fully disclosed all requested health and medical information\nAll information I have provided is true and complete to the best of my knowledge\n\nI understand that:\n\nFalsifying or omitting relevant information may result in denial of participation, with or without refund, at the sole discretion of Feather Crown\nAyahuasca and other plant medicines may be dangerous or life-threatening if combined with certain conditions or substances\nFeather Crown is not a medical facility\nIts owners, staff, employees, and agents do not practice Western medicine and are not licensed medical doctors\n\nI voluntarily assume full responsibility for my participation.\n\nI hereby waive, release, and hold harmless Feather Crown, its owners, staff, employees, and agents from any and all liability, claims, damages, or injuries that may occur in connection with my participation.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_37'><li class='gchoice gchoice_1_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='I have read, understood, and agree to the Medical Responsibility and Liability Waiver'  id='choice_1_37_1'   aria-describedby=\"gfield_description_1_37\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_37_1' id='label_1_37_1' class='gform-field-label gform-field-label--type-inline'>I have read, understood, and agree to the Medical Responsibility and Liability Waiver<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_27'><span class='gform-field-label__text'>Please type your name in CAPITAL letters:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_1_27' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Food, accommodation and transportation<\/h2><\/li><li id=\"field_1_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Preferred diet:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_18'>\n\t\t\t<li class='gchoice gchoice_1_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='Normal'  id='choice_1_18_0'    \/>\n\t\t\t\t<label for='choice_1_18_0' id='label_1_18_0' class='gform-field-label gform-field-label--type-inline'>Normal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='Vegetarian'  id='choice_1_18_1'    \/>\n\t\t\t\t<label for='choice_1_18_1' id='label_1_18_1' class='gform-field-label gform-field-label--type-inline'>Vegetarian<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='Vegetarian eating fish'  id='choice_1_18_2'    \/>\n\t\t\t\t<label for='choice_1_18_2' id='label_1_18_2' class='gform-field-label gform-field-label--type-inline'>Vegetarian eating fish<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_18_3'>\n\t\t\t\t<input name='input_18' type='radio' value='Vegan'  id='choice_1_18_3'    \/>\n\t\t\t\t<label for='choice_1_18_3' id='label_1_18_3' class='gform-field-label gform-field-label--type-inline'>Vegan<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_19\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_19'><span class='gform-field-label__text'>Any special requirements for your diet?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_1_19' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Preffered type of accommodation:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_20'>\n\t\t\t<li class='gchoice gchoice_1_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='Private room for 1 person' checked='checked' id='choice_1_20_0'    \/>\n\t\t\t\t<label for='choice_1_20_0' id='label_1_20_0' class='gform-field-label gform-field-label--type-inline'>Private room for 1 person<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='Private Room for 2 people (2 beds) shared among friends or family'  id='choice_1_20_1'    \/>\n\t\t\t\t<label for='choice_1_20_1' id='label_1_20_1' class='gform-field-label gform-field-label--type-inline'>Private Room for 2 people (2 beds) shared among friends or family<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_13\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_13'><span class='gform-field-label__text'>Let us know if there is somebody specific you want to share your room with:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_1_13' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Private transport from Quito\/airport<\/span><\/label><div class='gfield_description' id='gfield_description_1_47'>Please check the following fields if you want us to organize private transport for you on the 1st day of the retreat, and\/or the last one. We can pick you up at your hotel in Quito, or at the Mariscal Sucre airport near Quito, or in Tababela (a town close to the airport). Please note that the price may differ according to how many people are requesting transport, but will not exceed $120 USD per person.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_47'><li class='gchoice gchoice_1_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='Quito\/aiport -&gt; Feather Crown ($50 USD per person, departure 8-9 AM)'  id='choice_1_47_1'   aria-describedby=\"gfield_description_1_47\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_47_1' id='label_1_47_1' class='gform-field-label gform-field-label--type-inline'>Quito\/aiport -&gt; Feather Crown ($50 USD per person, departure 8-9 AM)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Feather Crown -&gt; Quito\/airport ($50 USD per person, departure 9:00 AM)'  id='choice_1_47_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_47_2' id='label_1_47_2' class='gform-field-label gform-field-label--type-inline'>Feather Crown -&gt; Quito\/airport ($50 USD per person, departure 9:00 AM)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_32\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Work with the plants<\/h2><\/li><li id=\"field_1_21\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_21'><span class='gform-field-label__text'>Do you have any previous experience with Ayahuasca? If yes, what were the results?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_1_21' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_22\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_22'><span class='gform-field-label__text'>What would you like to achieve and what are your expectations?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_1_22' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_23\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_23'><span class='gform-field-label__text'>Referral (first time guests only)<\/span><\/label><div class='gfield_description' id='gfield_description_1_23'>How did you hear about Feather Crown? If it was from a website, which one? Thank you for helping us to understand how people find us.<\/div><div class='ginput_container ginput_container_text'><input name='input_23' id='input_1_23' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_23\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_24\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_24'><span class='gform-field-label__text'>Message to the organizers:<\/span><\/label><div class='gfield_description' id='gfield_description_1_24'>Anything that you want to add:<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_1_24' class='textarea medium'  aria-describedby=\"gfield_description_1_24\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_50\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Make sure we receive your registration:<\/h2><div class='gsection_description' id='gfield_description_1_50'>After you hit the submit button, you should receive an immediate confirmation email. If you don't receive the confirmation email within few minutes, something went wrong with your submission and you need to resend it. Make sure you fill all the obligatory fields, otherwise it won't let you send the form. You can always contact us at info@feathercrown.com if you have any problem.<\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit registration form<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='McjyOma1UlLNS5U8WQnkbjsGXud9Nvl1HOTyzddGlw2J1\/z7n15YOzw3gjd8tyOw+\/zM4rYRJbK+Rjf4jcK\/HJItZOSF8mgHYXAIzh2pJQ2kBoA=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"128\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div><br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<span class=\"et_bloom_bottom_trigger\"><\/span>","protected":false},"excerpt":{"rendered":"<div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_1' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Ayahuasca-Retreat Anmeldeformular<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/de\/wp-json\/wp\/v2\/pages\/12555' data-formid='1' novalidate data-trp-original-action=\"\/de\/wp-json\/wp\/v2\/pages\/12555\">\n                        <div class='gform-body gform_body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_1_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>W\u00e4hlen Sie die Dauer Ihres R\u00fcckzugs:<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_52'>\n\t\t\t<li class='gchoice gchoice_1_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='5-day short retreat'  id='choice_1_52_0'    \/>\n\t\t\t\t<label for='choice_1_52_0' id='label_1_52_0' class='gform-field-label gform-field-label--type-inline'>5-t\u00e4giger Kurzurlaub<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='10-day full immersive retreat'  id='choice_1_52_1'    \/>\n\t\t\t\t<label for='choice_1_52_1' id='label_1_52_1' class='gform-field-label gform-field-label--type-inline'>10 Tage intensiver Retreat<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_52_2'>\n\t\t\t\t<input name='input_52' type='radio' value='30-day traditional Shipibo dieta'  id='choice_1_52_2'    \/>\n\t\t\t\t<label for='choice_1_52_2' id='label_1_52_2' class='gform-field-label gform-field-label--type-inline'>30-t\u00e4gige traditionelle Shipibo-Di\u00e4t<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>W\u00e4hlen Sie die 10-t\u00e4gige Veranstaltung aus, die Sie buchen m\u00f6chten:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_43'>Hinweis: Wenn Sie eine Veranstaltung ausw\u00e4hlen, die derzeit voll ist, werden Sie auf deren Warteliste gesetzt und benachrichtigt, wenn ein Platz frei wird.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_43'>\n\t\t\t<li class='gchoice gchoice_1_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='August 10 - 19, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_0'    \/>\n\t\t\t\t<label for='choice_1_43_0' id='label_1_43_0' class='gform-field-label gform-field-label--type-inline'>10. - 19. August 2026 (10 Tage) $1790 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='October 5 - 14, 2026 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)'  id='choice_1_43_1'    \/>\n\t\t\t\t<label for='choice_1_43_1' id='label_1_43_1' class='gform-field-label gform-field-label--type-inline'>5. bis 14. Oktober 2026 (10 Tage) $1790 \u2013 Zeremonien unter der Leitung von Maestro Sina (Shipibo)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_2'>\n\t\t\t\t<input name='input_43' type='radio' value='October 19 - 28, 2026 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)'  id='choice_1_43_2'    \/>\n\t\t\t\t<label for='choice_1_43_2' id='label_1_43_2' class='gform-field-label gform-field-label--type-inline'>19. bis 28. Oktober 2026 (10 Tage) $1790 \u2013 Zeremonien unter der Leitung von Maestro Sina (Shipibo)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_3'>\n\t\t\t\t<input name='input_43' type='radio' value='November 23 - December 2, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_3'    \/>\n\t\t\t\t<label for='choice_1_43_3' id='label_1_43_3' class='gform-field-label gform-field-label--type-inline'>23. November - 2. Dezember 2026 (10 Tage) $1790 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_4'>\n\t\t\t\t<input name='input_43' type='radio' value='January 11 - 20, 2027 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo). WAITING LIST ONLY RETREAT IS FULL'  id='choice_1_43_4'    \/>\n\t\t\t\t<label for='choice_1_43_4' id='label_1_43_4' class='gform-field-label gform-field-label--type-inline'>11.\u201320. Januar 2027 (10 Tage) $1790 \u2013 Zeremonien unter der Leitung von Maestro Sina (Shipibo). Nur Warteliste. Das Retreat ist ausgebucht.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_5'>\n\t\t\t\t<input name='input_43' type='radio' value='January 28 - February 6, 2027 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)'  id='choice_1_43_5'    \/>\n\t\t\t\t<label for='choice_1_43_5' id='label_1_43_5' class='gform-field-label gform-field-label--type-inline'>28. Januar \u2013 6. Februar 2027 (10 Tage) $1790 \u2013 Zeremonien unter der Leitung von Maestro Sina (Shipibo)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_6'>\n\t\t\t\t<input name='input_43' type='radio' value='February 13 - 22, 2027 (10 days) $1790 - Ceremonies led by Maestro Sina (Shipibo)'  id='choice_1_43_6'    \/>\n\t\t\t\t<label for='choice_1_43_6' id='label_1_43_6' class='gform-field-label gform-field-label--type-inline'>13. bis 22. Februar 2027 (10 Tage) $1790 \u2013 Zeremonien unter der Leitung von Maestro Sina (Shipibo)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_7'>\n\t\t\t\t<input name='input_43' type='radio' value='March 22 - 31, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_7'    \/>\n\t\t\t\t<label for='choice_1_43_7' id='label_1_43_7' class='gform-field-label gform-field-label--type-inline'>22. - 31. M\u00e4rz 2026 (10 Tage) $1790 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_8'>\n\t\t\t\t<input name='input_43' type='radio' value='April 19 - 28, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_8'    \/>\n\t\t\t\t<label for='choice_1_43_8' id='label_1_43_8' class='gform-field-label gform-field-label--type-inline'>19. - 28. April 2026 (10 Tage) $1790 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_43_9'>\n\t\t\t\t<input name='input_43' type='radio' value='May 17 - 26, 2026 (10 days) $1790 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_43_9'    \/>\n\t\t\t\t<label for='choice_1_43_9' id='label_1_43_9' class='gform-field-label gform-field-label--type-inline'>17. - 26. Mai 2026 (10 Tage) $1790 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>W\u00e4hlen Sie die 5-t\u00e4gige Veranstaltung aus, die Sie buchen m\u00f6chten:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_55'>Hinweis: Wenn Sie eine Veranstaltung ausw\u00e4hlen, die derzeit voll ist, werden Sie auf deren Warteliste gesetzt und benachrichtigt, wenn ein Platz frei wird.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_55'>\n\t\t\t<li class='gchoice gchoice_1_55_0'>\n\t\t\t\t<input name='input_55' type='radio' value='August 14 - 18, 2026 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_0'    \/>\n\t\t\t\t<label for='choice_1_55_0' id='label_1_55_0' class='gform-field-label gform-field-label--type-inline'>14. - 18. August 2026 (5 Tage) $890 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_1'>\n\t\t\t\t<input name='input_55' type='radio' value='October 5 - 9, 2026 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_1'    \/>\n\t\t\t\t<label for='choice_1_55_1' id='label_1_55_1' class='gform-field-label gform-field-label--type-inline'>5. bis 9. Oktober 2026 (5 Tage) $890 \u2013 Zeremonien unter der Leitung von Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_2'>\n\t\t\t\t<input name='input_55' type='radio' value='October 9 - 13, 2026 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_2'    \/>\n\t\t\t\t<label for='choice_1_55_2' id='label_1_55_2' class='gform-field-label gform-field-label--type-inline'>9. bis 13. Oktober 2026 (5 Tage) $890 \u2013 Zeremonien unter der Leitung von Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_3'>\n\t\t\t\t<input name='input_55' type='radio' value='October 19 - 23, 2026 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_3'    \/>\n\t\t\t\t<label for='choice_1_55_3' id='label_1_55_3' class='gform-field-label gform-field-label--type-inline'>19. bis 23. Oktober 2026 (5 Tage) $890 \u2013 Zeremonien unter der Leitung von Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_4'>\n\t\t\t\t<input name='input_55' type='radio' value='October 23 - 27, 2026 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_4'    \/>\n\t\t\t\t<label for='choice_1_55_4' id='label_1_55_4' class='gform-field-label gform-field-label--type-inline'>23. bis 27. Oktober 2026 (5 Tage) $890 \u2013 Zeremonien unter der Leitung von Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_5'>\n\t\t\t\t<input name='input_55' type='radio' value='November 23 - 27, 2026 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_5'    \/>\n\t\t\t\t<label for='choice_1_55_5' id='label_1_55_5' class='gform-field-label gform-field-label--type-inline'>23. - 27. November 2026 (5 Tage) $890 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_6'>\n\t\t\t\t<input name='input_55' type='radio' value='November 27 - December 1, 2026 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_6'    \/>\n\t\t\t\t<label for='choice_1_55_6' id='label_1_55_6' class='gform-field-label gform-field-label--type-inline'>27. November \u2013 1. Dezember 2026 (5 Tage) $890 \u2013 Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_7'>\n\t\t\t\t<input name='input_55' type='radio' value='February 13 - 17, 2027 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_7'    \/>\n\t\t\t\t<label for='choice_1_55_7' id='label_1_55_7' class='gform-field-label gform-field-label--type-inline'>13. bis 17. Februar 2027 (5 Tage) $890 \u2013 Zeremonien unter der Leitung von Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_8'>\n\t\t\t\t<input name='input_55' type='radio' value='February 17 - 21, 2027 (5 days) $890 - Ceremonies led by Maestro Sina'  id='choice_1_55_8'    \/>\n\t\t\t\t<label for='choice_1_55_8' id='label_1_55_8' class='gform-field-label gform-field-label--type-inline'>17. bis 21. Februar 2027 (5 Tage) $890 \u2013 Zeremonien unter der Leitung von Maestro Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_9'>\n\t\t\t\t<input name='input_55' type='radio' value='March 22-26, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_9'    \/>\n\t\t\t\t<label for='choice_1_55_9' id='label_1_55_9' class='gform-field-label gform-field-label--type-inline'>22.-26. M\u00e4rz 2027 (5 Tage) $890 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_10'>\n\t\t\t\t<input name='input_55' type='radio' value='March 26-30, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_10'    \/>\n\t\t\t\t<label for='choice_1_55_10' id='label_1_55_10' class='gform-field-label gform-field-label--type-inline'>26.-30. M\u00e4rz 2027 (5 Tage) $890 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_11'>\n\t\t\t\t<input name='input_55' type='radio' value='April 19-23, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_11'    \/>\n\t\t\t\t<label for='choice_1_55_11' id='label_1_55_11' class='gform-field-label gform-field-label--type-inline'>19.-23. April 2027 (5 Tage) $890 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_12'>\n\t\t\t\t<input name='input_55' type='radio' value='April 23-27, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_12'    \/>\n\t\t\t\t<label for='choice_1_55_12' id='label_1_55_12' class='gform-field-label gform-field-label--type-inline'>23.-27. April 2027 (5 Tage) $890 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_13'>\n\t\t\t\t<input name='input_55' type='radio' value='May 17-21, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_13'    \/>\n\t\t\t\t<label for='choice_1_55_13' id='label_1_55_13' class='gform-field-label gform-field-label--type-inline'>17.-21. Mai 2027 (5 Tage) $890 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_55_14'>\n\t\t\t\t<input name='input_55' type='radio' value='May 21-25, 2027 (5 days) $890 - Ceremonies led by Don Carlos (Kichwa)'  id='choice_1_55_14'    \/>\n\t\t\t\t<label for='choice_1_55_14' id='label_1_55_14' class='gform-field-label gform-field-label--type-inline'>21.-25. Mai 2027 (5 Tage) $890 - Zeremonien unter der Leitung von Don Carlos (Kichwa)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>W\u00e4hlen Sie die 30-t\u00e4gige Veranstaltung aus, die Sie buchen m\u00f6chten:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_54'>Hinweis: Wenn Sie eine Veranstaltung ausw\u00e4hlen, die derzeit voll ist, werden Sie auf deren Warteliste gesetzt und benachrichtigt, wenn ein Platz frei wird.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_54'>\n\t\t\t<li class='gchoice gchoice_1_54_0'>\n\t\t\t\t<input name='input_54' type='radio' value='October 5 \u2013 November 5, 2026 (30 days) $3700 - Led by Shipibo Maestro Sina'  id='choice_1_54_0'    \/>\n\t\t\t\t<label for='choice_1_54_0' id='label_1_54_0' class='gform-field-label gform-field-label--type-inline'>5. Oktober \u2013 5. November 2026 (30 Tage) $3700 \u2013 Unter der Leitung des Shipibo-Meisters Sina<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_54_1'>\n\t\t\t\t<input name='input_54' type='radio' value='January 11 \u2013 February 11, 2027 (30 days) $3700 - Led by Shipibo Maestro Sina WAITING LIST ONLY, EVENT IS FULL'  id='choice_1_54_1'    \/>\n\t\t\t\t<label for='choice_1_54_1' id='label_1_54_1' class='gform-field-label gform-field-label--type-inline'>11. Januar \u2013 11. Februar 2027 (30 Tage) $3700 \u2013 Unter der Leitung von Shipibo Maestro Sina. Nur Warteliste, Veranstaltung ist ausgebucht.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_54_2'>\n\t\t\t\t<input name='input_54' type='radio' value='January 28 \u2013 February 28, 2027 (30 days) $3700 - Led by Shipibo Maestro Sina'  id='choice_1_54_2'    \/>\n\t\t\t\t<label for='choice_1_54_2' id='label_1_54_2' class='gform-field-label gform-field-label--type-inline'>28. Januar \u2013 28. Februar 2027 (30 Tage) $3700 \u2013 Unter der Leitung des Shipibo-Meisters Sina<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_49\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Anrechenbarkeit der Kaution und Best\u00e4tigung der Nichtr\u00fcckzahlbarkeit und sogar der Stornierung<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_49'><li class='gchoice gchoice_1_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='I am aware that the booking deposit is &lt;b&gt;non-refundable&lt;\/b&gt;. However any deposit &lt;b&gt;can be transferred&lt;\/b&gt; to another date if done at least 30 days before the originally booked event begins. The deposit can also be transfrerred to another person for free any time. In case the even in cancelled, the organizer issues a full refund of any depodsits, but is not responsible for covering any losses due to event being cancelled. In order to prevent any losses, a travel insurance or refundable flight tariff is recommended.'  id='choice_1_49_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_49_1' id='label_1_49_1' class='gform-field-label gform-field-label--type-inline'>Ich bin mir bewusst, dass die Buchungsanzahlung <b>nicht erstattungsf\u00e4hig<\/b>. Jedoch jede Kaution <b>\u00fcbertragen werden kann<\/b> auf ein anderes Datum, wenn dies mindestens 30 Tage vor Beginn der urspr\u00fcnglich gebuchten Veranstaltung geschieht. Die Anzahlung kann auch jederzeit kostenlos auf eine andere Person \u00fcbertragen werden. Im Falle einer Absage der Veranstaltung erstattet der Veranstalter die Anzahlung vollst\u00e4ndig, ist aber nicht daf\u00fcr verantwortlich, Verluste aufgrund der Veranstaltungsabsage zu decken. Um Verluste zu vermeiden, wird eine Reiseversicherung oder ein erstattungsf\u00e4higer Flugtarif empfohlen.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Basisinformationen<\/h2><\/li><li id=\"field_1_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Ihr Name:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_1_3' class='gform-field-label gform-field-label--type-sub'>Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_1_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_1_6' class='gform-field-label gform-field-label--type-sub'>Nachname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_1_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>E-Mail<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_1_2_container'>\n                                <span id='input_1_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2' id='input_1_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_1_2' class='gform-field-label gform-field-label--type-sub'>E-Mail eingeben<\/label>\n                                <\/span>\n                                <span id='input_1_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_2_2' id='input_1_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_1_2_2' class='gform-field-label gform-field-label--type-sub'>E-Mail best\u00e4tigen<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_1_56\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_56'><span class='gform-field-label__text'>Telefon<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_56' id='input_1_56' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/li><li id=\"field_1_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Geschlecht:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_8'>\n\t\t\t<li class='gchoice gchoice_1_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Male'  id='choice_1_8_0'    \/>\n\t\t\t\t<label for='choice_1_8_0' id='label_1_8_0' class='gform-field-label gform-field-label--type-inline'>M\u00e4nnlich<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='Female'  id='choice_1_8_1'    \/>\n\t\t\t\t<label for='choice_1_8_1' id='label_1_8_1' class='gform-field-label gform-field-label--type-inline'>Weiblich<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_9'><span class='gform-field-label__text'>Alter:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_1_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_6\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Aufenthaltsgenehmigung<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gform-grid-row' id='input_1_6' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_6_3_container' >\n                                    <input type='text' name='input_6.3' id='input_1_6_3' value=''    aria-required='true'    \/>\n                                    <label for='input_1_6_3' id='input_1_6_3_label' class='gform-field-label gform-field-label--type-sub'>Stadt<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_6.4' id='input_1_6_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_1_6_6_container' >\n                                        <select name='input_6.6' id='input_1_6_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanien' >Albanien<\/option><option value='Algerien' >Algerien<\/option><option value='Amerikanisch-Samoa' >Amerikanisch-Samoa<\/option><option value='Amerikanische Jungferninseln' >Amerikanische Jungferninseln<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarktis' >Antarktis<\/option><option value='Antigua und Barbuda' >Antigua und Barbuda<\/option><option value='Argentinien' >Argentinien<\/option><option value='Armenien' >Armenien<\/option><option value='Aruba' >Aruba<\/option><option value='Aserbaidschan' >Aserbaidschan<\/option><option value='Australien' >Australien<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belgien' >Belgien<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivien' >Bolivien<\/option><option value='Bosnien und Herzegowina' >Bosnien und Herzegowina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvetinsel' >Bouvetinsel<\/option><option value='Brasilien' >Brasilien<\/option><option value='Britische Jungferninseln' >Britische Jungferninseln<\/option><option value='Britisches Territorium im Indischen Ozean' >Britisches Territorium im Indischen Ozean<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgarien' >Bulgarien<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Caymen Inseln' >Caymen Inseln<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Cookinseln' >Cookinseln<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Demokratische Volksrepublik Laos' >Demokratische Volksrepublik Laos<\/option><option value='Deutschland' >Deutschland<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominikanische Republik' >Dominikanische Republik<\/option><option value='D\u00e4nemark' >D\u00e4nemark<\/option><option value='Ecuador' >Ecuador<\/option><option value='El Salvador' >El Salvador<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estland' >Estland<\/option><option value='Eswatini' >Eswatini<\/option><option value='Falklandinseln' >Falklandinseln<\/option><option value='Fidschi' >Fidschi<\/option><option value='Finnland' >Finnland<\/option><option value='Frankreich' >Frankreich<\/option><option value='Franz\u00f6sisch-Guayana' >Franz\u00f6sisch-Guayana<\/option><option value='Franz\u00f6sisch-Polynesien' >Franz\u00f6sisch-Polynesien<\/option><option value='Franz\u00f6sische S\u00fcd- und Antarktisgebiete' >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value='Futuna (Wallis und Futuna)' >Futuna (Wallis und Futuna)<\/option><option value='F\u00e4r\u00f6er-Inseln' >F\u00e4r\u00f6er-Inseln<\/option><option value='Gabun' >Gabun<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenada' >Grenada<\/option><option value='Griechenland' >Griechenland<\/option><option value='Gro\u00dfbritannien' >Gro\u00dfbritannien<\/option><option value='Gr\u00f6nland' >Gr\u00f6nland<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard und McDonaldinseln' >Heard und McDonaldinseln<\/option><option value='Heiliger Stuhl' >Heiliger Stuhl<\/option><option value='Honduras' >Honduras<\/option><option value='Hongkong' >Hongkong<\/option><option value='Indien' >Indien<\/option><option value='Indonesien' >Indonesien<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irland' >Irland<\/option><option value='Island' >Island<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italien' >Italien<\/option><option value='Jamaika' >Jamaika<\/option><option value='Japan' >Japan<\/option><option value='Jemen' >Jemen<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanien' >Jordanien<\/option><option value='Kambodscha' >Kambodscha<\/option><option value='Kamerun' >Kamerun<\/option><option value='Kanada' >Kanada<\/option><option value='Kap Verde' >Kap Verde<\/option><option value='Karibische Niederlande' >Karibische Niederlande<\/option><option value='Kasachstan' >Kasachstan<\/option><option value='Katar' >Katar<\/option><option value='Kenia' >Kenia<\/option><option value='Kirgistan' >Kirgistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kokosinseln' >Kokosinseln<\/option><option value='Kolumbien' >Kolumbien<\/option><option value='Komoren' >Komoren<\/option><option value='Kongo' >Kongo<\/option><option value='Kongo, Demokratische Republik des' >Kongo, Demokratische Republik des<\/option><option value='Korea. Demokratische Volksrepublik' >Korea. Demokratische Volksrepublik<\/option><option value='Kroatien' >Kroatien<\/option><option value='Kuba' >Kuba<\/option><option value='Kuwait' >Kuwait<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettland' >Lettland<\/option><option value='Libanon' >Libanon<\/option><option value='Liberia' >Liberia<\/option><option value='Libyen' >Libyen<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litauen' >Litauen<\/option><option value='Luxemburg' >Luxemburg<\/option><option value='Macau' >Macau<\/option><option value='Madagaskar' >Madagaskar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Malediven' >Malediven<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marokko' >Marokko<\/option><option value='Marshall-Inseln' >Marshall-Inseln<\/option><option value='Martinique' >Martinique<\/option><option value='Mauretanien' >Mauretanien<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexiko' >Mexiko<\/option><option value='Mikronesien' >Mikronesien<\/option><option value='Moldawien' >Moldawien<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolei' >Mongolei<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mosambik' >Mosambik<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Neukaledonien' >Neukaledonien<\/option><option value='Neuseeland' >Neuseeland<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niederlande' >Niederlande<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Nordmazedonien' >Nordmazedonien<\/option><option value='Norfolkinsel' >Norfolkinsel<\/option><option value='Norwegen' >Norwegen<\/option><option value='N\u00f6rdliche Marianen' >N\u00f6rdliche Marianen<\/option><option value='Oman' >Oman<\/option><option value='Osttimor' >Osttimor<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Pal\u00e4stina, Bundesstaat' >Pal\u00e4stina, Bundesstaat<\/option><option value='Panama' >Panama<\/option><option value='Papua Neu Guinea' >Papua Neu Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippinen' >Philippinen<\/option><option value='Pitcairninseln' >Pitcairninseln<\/option><option value='Polen' >Polen<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Ruanda' >Ruanda<\/option><option value='Rum\u00e4nien' >Rum\u00e4nien<\/option><option value='Russische F\u00f6deration' >Russische F\u00f6deration<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint-Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Saint-Pierre und Miquelon' >Saint-Pierre und Miquelon<\/option><option value='Salomonen' >Salomonen<\/option><option value='Sambia' >Sambia<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Saudi-Arabien' >Saudi-Arabien<\/option><option value='Schweden' >Schweden<\/option><option value='Schweiz' >Schweiz<\/option><option value='Senegal' >Senegal<\/option><option value='Serbien' >Serbien<\/option><option value='Seychellen' >Seychellen<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Simbabwe' >Simbabwe<\/option><option value='Singapur' >Singapur<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovenien' >Slovenien<\/option><option value='Slowakei' >Slowakei<\/option><option value='Somalia' >Somalia<\/option><option value='Spanien' >Spanien<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='St. Helena, Ascension und Tristan da Cunha' >St. Helena, Ascension und Tristan da Cunha<\/option><option value='St. Kitts und Nevis' >St. Kitts und Nevis<\/option><option value='St. Lucia' >St. Lucia<\/option><option value='St. Martin' >St. Martin<\/option><option value='St. Vincent und die Grenadinen' >St. Vincent und die Grenadinen<\/option><option value='Sudan' >Sudan<\/option><option value='Surinam' >Surinam<\/option><option value='Svalbard und Jan Mayen' >Svalbard und Jan Mayen<\/option><option value='Syrien, Arabische Republik' >Syrien, Arabische Republik<\/option><option value='S\u00e3o Tom\u00e9 und Pr\u00edncipe' >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value='S\u00fcdafrika' >S\u00fcdafrika<\/option><option value='S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln' >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value='S\u00fcdkorea' >S\u00fcdkorea<\/option><option value='S\u00fcdsudan' >S\u00fcdsudan<\/option><option value='Tadschikistan' >Tadschikistan<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tansania, Vereinte Republik' >Tansania, Vereinte Republik<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad und Tobago' >Trinidad und Tobago<\/option><option value='Tschad' >Tschad<\/option><option value='Tschechien' >Tschechien<\/option><option value='Tunesien' >Tunesien<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks- und Caicosinseln' >Turks- und Caicosinseln<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkei' >T\u00fcrkei<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='Ungarn' >Ungarn<\/option><option value='Uruguay' >Uruguay<\/option><option value='Usbekistan' >Usbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vereinigte Arabische Emirate' >Vereinigte Arabische Emirate<\/option><option value='Vereinigte Staaten von Amerika' >Vereinigte Staaten von Amerika<\/option><option value='Vietnam' >Vietnam<\/option><option value='Weihnachtsinsel' >Weihnachtsinsel<\/option><option value='Wei\u00dfrussland' >Wei\u00dfrussland<\/option><option value='Westsahara' >Westsahara<\/option><option value='Zentralafrikanische Republik' >Zentralafrikanische Republik<\/option><option value='Zypern' >Zypern<\/option><option value='\u00c4gypten' >\u00c4gypten<\/option><option value='\u00c4quatorial Guinea' >\u00c4quatorial Guinea<\/option><option value='\u00c4thopien' >\u00c4thopien<\/option><option value='\u00c5landinseln' >\u00c5landinseln<\/option><option value='\u00d6sterreich' >\u00d6sterreich<\/option><\/select>\n                                        <label for='input_1_6_6' id='input_1_6_6_label' class='gform-field-label gform-field-label--type-sub'>Land<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_1_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'><span class='gform-field-label__text'>Passnummer<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_1_5' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_5\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_5'>Wenn Sie Ihren Reisepass noch nicht haben, geben Sie bitte \"0\" ein und teilen Sie uns Ihre Reisepassnummer sp\u00e4ter mit.<\/div><\/li><li id=\"field_1_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'><span class='gform-field-label__text'>Notfallkontakt (Name, Telefonnummer):<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_1_12' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_30\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Gesundheitszustand<\/h2><\/li><li id=\"field_1_14\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_14'><span class='gform-field-label__text'>Wie ist Ihr aktueller Gesundheitszustand?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_1_14' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_51\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Leiden Sie derzeit an einer der folgenden gesundheitlichen Beeintr\u00e4chtigungen?<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_51'><li class='gchoice gchoice_1_51_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.1' type='checkbox'  value='very high blood pressure'  id='choice_1_51_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_1' id='label_1_51_1' class='gform-field-label gform-field-label--type-inline'>sehr hoher Blutdruck<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.2' type='checkbox'  value='severe diabetes'  id='choice_1_51_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_2' id='label_1_51_2' class='gform-field-label gform-field-label--type-inline'>schwerer Diabetes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.3' type='checkbox'  value='schizophrenic disorder'  id='choice_1_51_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_3' id='label_1_51_3' class='gform-field-label gform-field-label--type-inline'>Schizophrenie<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.4' type='checkbox'  value='heart disease or any condition previously diagnosed indicating vulnerability to the heart'  id='choice_1_51_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_4' id='label_1_51_4' class='gform-field-label gform-field-label--type-inline'>Herzerkrankung oder eine fr\u00fchere Diagnose, die auf eine Anf\u00e4lligkeit des Herzens hinweist<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.5' type='checkbox'  value='epilepsy and other seizure related conditions'  id='choice_1_51_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_5' id='label_1_51_5' class='gform-field-label gform-field-label--type-inline'>Epilepsie und andere Anfallserkrankungen<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.6' type='checkbox'  value='infectious or contagious disease'  id='choice_1_51_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_6' id='label_1_51_6' class='gform-field-label gform-field-label--type-inline'>Infektionskrankheit oder ansteckende Krankheit<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.7' type='checkbox'  value='suicidal ideation'  id='choice_1_51_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_7' id='label_1_51_7' class='gform-field-label gform-field-label--type-inline'>Suizidgedanken<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.8' type='checkbox'  value='use of MAO inhibitors or anti-psychotic medication'  id='choice_1_51_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_8' id='label_1_51_8' class='gform-field-label gform-field-label--type-inline'>Anwendung von MAO-Hemmern oder Antipsychotika<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.9' type='checkbox'  value='mental illness'  id='choice_1_51_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_9' id='label_1_51_9' class='gform-field-label gform-field-label--type-inline'>psychische Erkrankung<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.11' type='checkbox'  value='drug addiction'  id='choice_1_51_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_11' id='label_1_51_11' class='gform-field-label gform-field-label--type-inline'>Drogenabh\u00e4ngigkeit<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_51_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.12' type='checkbox'  value='diagnosed terminal illness such as cancer'  id='choice_1_51_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_51_12' id='label_1_51_12' class='gform-field-label gform-field-label--type-inline'>diagnostizierte unheilbare Krankheit wie Krebs<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_16\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_16'><span class='gform-field-label__text'>Nehmen Sie derzeit Medikamente oder Nahrungserg\u00e4nzungsmittel ein:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_1_16' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_17\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_17'><span class='gform-field-label__text'>Allergien:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_1_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_33'><span class='gform-field-label__text'>Bitte listen Sie alle Freizeitdrogen auf, die Sie regelm\u00e4\u00dfig konsumieren:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_1_33' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_33\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_33'>Geben Sie \"keine\" ein, wenn Sie derzeit keine Freizeitdrogen einnehmen.<\/div><\/li><li id=\"field_1_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Tragen Sie derzeit ein Kind aus?<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_35'>\n\t\t\t<li class='gchoice gchoice_1_35_0'>\n\t\t\t\t<input name='input_35' type='radio' value='Yes'  id='choice_1_35_0'    \/>\n\t\t\t\t<label for='choice_1_35_0' id='label_1_35_0' class='gform-field-label gform-field-label--type-inline'>Ja<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_35_1'>\n\t\t\t\t<input name='input_35' type='radio' value='No'  id='choice_1_35_1'    \/>\n\t\t\t\t<label for='choice_1_35_1' id='label_1_35_1' class='gform-field-label gform-field-label--type-inline'>Nein<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_1_35'>Ich verstehe, dass Ayahuasca und alle anderen heiligen Pflanzen abf\u00fchrend und gef\u00e4hrlich w\u00e4hrend der Schwangerschaft sind. Sollte ich vor Beginn der Tour schwanger werden, verstehe ich, dass ich Feather Crown umgehend informieren muss und dass ich w\u00e4hrend der Schwangerschaft weder Ayahuasca noch andere heilige Pflanzen einnehmen darf. Ich verstehe auch, dass ich keinen Anspruch auf R\u00fcckerstattung habe.<\/div><\/li><li id=\"field_1_45\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Feather Crown Gesundheitspr\u00fcfung und vollst\u00e4ndige Offenlegung<\/h2><\/li><li id=\"field_1_36\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox ginput_container gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\"Keine Nahrungserg\u00e4nzungsmittel, keine Medikamente\" Richtlinie<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_36'>Diese Retreat beinhaltet die Einnahme von pflanzlichen Heilmitteln, die mit bestimmten Krankheiten, Medikamenten oder Substanzen kontraindiziert sein k\u00f6nnen.\n\nAlle pflanzlichen Nahrungserg\u00e4nzungsmittel, Naturheilmittel und Medikamente (verschreibungspflichtig und rezeptfrei), die innerhalb von 30 Tagen vor dem Retreat sowie w\u00e4hrend des Retreats eingenommen werden, m\u00fcssen Feather Crown vor Beginn des Retreats vollst\u00e4ndig offengelegt werden.\n\nW\u00e4hrend des Retreats d\u00fcrfen keine Medikamente, Nahrungserg\u00e4nzungsmittel oder Naturheilmittel ohne ausdr\u00fcckliche schriftliche Genehmigung von Feather Crown eingenommen werden.\n\nMit dem Ausf\u00fcllen dieser Bewerbung best\u00e4tigen Sie, dass alle gemachten Angaben wahrheitsgem\u00e4\u00df, vollst\u00e4ndig und aktuell sind und dass Sie alle k\u00f6rperlichen und psychischen Erkrankungen sowie alle Medikamente, Nahrungserg\u00e4nzungsmittel und Substanzen, die Sie einnehmen, vollst\u00e4ndig offengelegt haben.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_36'><li class='gchoice gchoice_1_36_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.1' type='checkbox'  value='I agree to the Feather Crown Health Screening and Full Disclosure'  id='choice_1_36_1'   aria-describedby=\"gfield_description_1_36\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_36_1' id='label_1_36_1' class='gform-field-label gform-field-label--type-inline'>Ich stimme der Federkrone Gesundheitspr\u00fcfung und vollst\u00e4ndigen Offenlegung zu<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_46\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Medizinische Haftungsfreistellung und Verzichtserkl\u00e4rung von Feather Crown<\/h2><\/li><li id=\"field_1_37\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class='gform-field-label__text'>Indem ich das Feld unten ankreuze und meinen Namen eingebe, best\u00e4tige ich:\n\nIch habe alle bereitgestellten medizinischen und sicherheitsrelevanten Informationen gelesen und verstanden\nIch habe alle angeforderten Gesundheits- und medizinischen Informationen vollst\u00e4ndig offengelegt\nAlle von mir gemachten Angaben sind nach bestem Wissen und Gewissen wahrheitsgem\u00e4\u00df und vollst\u00e4ndig\n\nIch verstehe, dass:\n\nFalschangaben oder das Auslassen relevanter Informationen k\u00f6nnen zur Ablehnung der Teilnahme, mit oder ohne Erstattung, nach alleinigem Ermessen von Feather Crown f\u00fchren\nAyahuasca und andere Pflanzenheilmittel k\u00f6nnen bei Kombination mit bestimmten Zust\u00e4nden oder Substanzen gef\u00e4hrlich oder lebensbedrohlich sein\nFeather Crown ist keine medizinische Einrichtung\nSeine Eigent\u00fcmer, Mitarbeiter, Angestellten und Vertreter praktizieren keine westliche Medizin und sind keine zugelassenen \u00c4rzte\n\nIch \u00fcbernehme freiwillig die volle Verantwortung f\u00fcr meine Teilnahme.\n\nIch verzichte hiermit auf alle Anspr\u00fcche, Forderungen, Sch\u00e4den oder Verletzungen, die im Zusammenhang mit meiner Teilnahme auftreten k\u00f6nnen, und stelle Feather Crown, seine Eigent\u00fcmer, Mitarbeiter, Angestellten und Vertreter von jeglicher Haftung frei.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_37'>Indem ich das Feld unten ankreuze und meinen Namen eingebe, best\u00e4tige ich:\n\nIch habe alle bereitgestellten medizinischen und sicherheitsrelevanten Informationen gelesen und verstanden\nIch habe alle angeforderten Gesundheits- und medizinischen Informationen vollst\u00e4ndig offengelegt\nAlle von mir gemachten Angaben sind nach bestem Wissen und Gewissen wahrheitsgem\u00e4\u00df und vollst\u00e4ndig\n\nIch verstehe, dass:\n\nFalschangaben oder das Auslassen relevanter Informationen k\u00f6nnen zur Ablehnung der Teilnahme, mit oder ohne Erstattung, nach alleinigem Ermessen von Feather Crown f\u00fchren\nAyahuasca und andere Pflanzenheilmittel k\u00f6nnen bei Kombination mit bestimmten Zust\u00e4nden oder Substanzen gef\u00e4hrlich oder lebensbedrohlich sein\nFeather Crown ist keine medizinische Einrichtung\nSeine Eigent\u00fcmer, Mitarbeiter, Angestellten und Vertreter praktizieren keine westliche Medizin und sind keine zugelassenen \u00c4rzte\n\nIch \u00fcbernehme freiwillig die volle Verantwortung f\u00fcr meine Teilnahme.\n\nIch verzichte hiermit auf alle Anspr\u00fcche, Forderungen, Sch\u00e4den oder Verletzungen, die im Zusammenhang mit meiner Teilnahme auftreten k\u00f6nnen, und stelle Feather Crown, seine Eigent\u00fcmer, Mitarbeiter, Angestellten und Vertreter von jeglicher Haftung frei.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_37'><li class='gchoice gchoice_1_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='I have read, understood, and agree to the Medical Responsibility and Liability Waiver'  id='choice_1_37_1'   aria-describedby=\"gfield_description_1_37\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_37_1' id='label_1_37_1' class='gform-field-label gform-field-label--type-inline'>Ich habe die Erkl\u00e4rung zur medizinischen Verantwortung und Haftungsfreistellung gelesen, verstanden und stimme ihr zu.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_27'><span class='gform-field-label__text'>BITTE GEBEN SIE IHREN NAMEN IN GROSSBUCHSTABEN EIN:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_1_27' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Essen, Unterkunft und Transport<\/h2><\/li><li id=\"field_1_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Bevorzugte Di\u00e4t:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_18'>\n\t\t\t<li class='gchoice gchoice_1_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='Normal'  id='choice_1_18_0'    \/>\n\t\t\t\t<label for='choice_1_18_0' id='label_1_18_0' class='gform-field-label gform-field-label--type-inline'>Normal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='Vegetarian'  id='choice_1_18_1'    \/>\n\t\t\t\t<label for='choice_1_18_1' id='label_1_18_1' class='gform-field-label gform-field-label--type-inline'>Vegetarier<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='Vegetarian eating fish'  id='choice_1_18_2'    \/>\n\t\t\t\t<label for='choice_1_18_2' id='label_1_18_2' class='gform-field-label gform-field-label--type-inline'>Vegetarier, der Fisch isst<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_18_3'>\n\t\t\t\t<input name='input_18' type='radio' value='Vegan'  id='choice_1_18_3'    \/>\n\t\t\t\t<label for='choice_1_18_3' id='label_1_18_3' class='gform-field-label gform-field-label--type-inline'>Vegan<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_19\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_19'><span class='gform-field-label__text'>Gibt es besondere Anforderungen an Ihre Ern\u00e4hrung?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_1_19' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Bevorzugte Unterkunftsart:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_20'>\n\t\t\t<li class='gchoice gchoice_1_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='Private room for 1 person' checked='checked' id='choice_1_20_0'    \/>\n\t\t\t\t<label for='choice_1_20_0' id='label_1_20_0' class='gform-field-label gform-field-label--type-inline'>Privates Zimmer f\u00fcr 1 Person<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='Private Room for 2 people (2 beds) shared among friends or family'  id='choice_1_20_1'    \/>\n\t\t\t\t<label for='choice_1_20_1' id='label_1_20_1' class='gform-field-label gform-field-label--type-inline'>Privatzimmer f\u00fcr 2 Personen (2 Betten), geteilt unter Freunden oder Familie<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_13\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_13'><span class='gform-field-label__text'>Lassen Sie uns wissen, ob Sie ein bestimmtes Zimmer teilen m\u00f6chten:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_1_13' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Privattransport von Quito\/Flughafen<\/span><\/label><div class='gfield_description' id='gfield_description_1_47'>Bitte kreuzen Sie die folgenden Felder an, wenn Sie m\u00f6chten, dass wir am ersten und\/oder letzten Tag des Retreats einen privaten Transfer f\u00fcr Sie organisieren. Wir k\u00f6nnen Sie in Ihrem Hotel in Quito, am Flughafen Mariscal Sucre in der N\u00e4he von Quito oder in Tababela (einer Stadt in der N\u00e4he des Flughafens) abholen. Bitte beachten Sie, dass der Preis je nach Anzahl der Personen, die den Transfer in Anspruch nehmen, variieren kann, jedoch $120 USD pro Person nicht \u00fcberschreiten wird.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_47'><li class='gchoice gchoice_1_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='Quito\/aiport -&gt; Feather Crown ($50 USD per person, departure 8-9 AM)'  id='choice_1_47_1'   aria-describedby=\"gfield_description_1_47\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_1_47_1' id='label_1_47_1' class='gform-field-label gform-field-label--type-inline'>Quito\/Flughafen -&gt; Feather Crown ($50 USD pro Person, Abfahrt 8\u20139 Uhr)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Feather Crown -&gt; Quito\/airport ($50 USD per person, departure 9:00 AM)'  id='choice_1_47_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_47_2' id='label_1_47_2' class='gform-field-label gform-field-label--type-inline'>Feather Crown -&gt; Quito\/Flughafen ($50 USD pro Person, Abfahrt 9:00 Uhr)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_32\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Arbeite mit den Pflanzen<\/h2><\/li><li id=\"field_1_21\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_21'><span class='gform-field-label__text'>Haben Sie bereits Erfahrungen mit Ayahuasca? Wenn ja, welche Ergebnisse hatten Sie?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_1_21' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_22\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_22'><span class='gform-field-label__text'>Was m\u00f6chten Sie erreichen und welche Erwartungen haben Sie?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_1_22' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_23\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_23'><span class='gform-field-label__text'>Empfehlung (nur f\u00fcr Erstbesucher)<\/span><\/label><div class='gfield_description' id='gfield_description_1_23'>Wie sind Sie auf Feather Crown aufmerksam geworden? Falls es von einer Webseite war, von welcher? Vielen Dank, dass Sie uns helfen zu verstehen, wie die Leute uns finden.<\/div><div class='ginput_container ginput_container_text'><input name='input_23' id='input_1_23' type='text' value='' class='medium'  aria-describedby=\"gfield_description_1_23\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_24\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_24'><span class='gform-field-label__text'>Nachricht an die Organisatoren:<\/span><\/label><div class='gfield_description' id='gfield_description_1_24'>Gibt es etwas, das Sie hinzuf\u00fcgen m\u00f6chten:<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_1_24' class='textarea medium'  aria-describedby=\"gfield_description_1_24\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_50\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Stellen Sie sicher, dass wir Ihre Registrierung erhalten:<\/h2><div class='gsection_description' id='gfield_description_1_50'>Nachdem Sie auf die Schaltfl\u00e4che \"Senden\" geklickt haben, sollten Sie eine sofortige Best\u00e4tigungs-E-Mail erhalten. Wenn Sie die Best\u00e4tigungs-E-Mail nicht innerhalb weniger Minuten erhalten, ist bei Ihrer Einreichung etwas schief gelaufen und Sie m\u00fcssen sie erneut senden. Stellen Sie sicher, dass Sie alle Pflichtfelder ausf\u00fcllen, sonst k\u00f6nnen Sie das Formular nicht absenden. Sie k\u00f6nnen uns jederzeit unter info@feathercrown.com kontaktieren, wenn Sie Probleme haben.<\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Registrierungsformular absenden<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='u01xR3Ggl2Jbfc9gae8LR47LJ8RTOyzLnlJ4Tf\/nRBGtDb7fB+HPC1LUvf5kEq0dj1HaoRvAD3Osr\/HQoVcQ3\/XxvjjnCo6nzbzncXtQWVrVxkY=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_1' id='gform_target_page_number_1' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_1' id='gform_source_page_number_1' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>\u0394<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_2\" name=\"ak_js\" value=\"21\"\/><script>\ndocument.getElementById( \"ak_js_2\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><input type=\"hidden\" name=\"trp-form-language\" value=\"de\"\/><\/form>\n                        <\/div>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_yoast_wpseo_focuskw":"Register Now","_yoast_wpseo_title":"Register Now \u2013 Ayahuasca Retreat in Ecuador","_yoast_wpseo_metadesc":"Secure your spot for a life-changing Ayahuasca retreat in Ecuador. 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