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& PAYMENT FORM

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Fitness Participant../thanks.htm

Guest Package

Child Package (3-12 years)

 $2599


$1999


$1099

$3199


$2599


N/A

Fitness Participant

Guest Package

Child Package (3-12 years)

$3099


$2499


$1099

$3499


$2899


N/A

Fitness Participant

Guest Package

Child Package (3-12 years)

 

$3299


$2699


$1099

$3799


$3199


N/A

Fitness Participant

Guest Package

Child Package (3-12 years)
 

$3299


$2699


$1099

$3799


$3199


N/A

Fitness Participant

Guest Package

Child Package (3-12 years)
 

$3499


$2899


$1099

$3999


$3399


N/A

TOTAL AMOUNT DUE ALOHA HOLIDAYS:     

SPECIAL REQUESTS: Please advise your preferred room set up:    twin beds    queen bed

Additional Nights: Please contact us if you wish to reserve additional nights accommodation before or after the Fitness Retreat dates. Aloha Holidays can arrange additional nights at Kalani, or in Hilo Town or elsewhere in Hawaii.  Please put a note in the comment box and give your arrival and departure dates plus your flight information:

Arrival Date    Departure Date
 

Comments:

Please include names of people sharing your room and the total number of people we are to charge on your card. Also, indicate if the people accompanying you are not participating in the Fitness Program.
 

Emergency contact information

Name     Relationship

Phone      Alternate phone

Birthdate Height Weight T-Shirt Size

Medical & Dietary Information
Do you have any medical condition we should be aware of? Yes No

Do you have any injuries we should be aware of?  Yes No

Are you taking any medication?  Yes No

If yes to any above, please give details

Please contact us if you have any questions about your ability to participate in activities. We suggest that you consult your physician regarding participating with any serious illness or injury.

Do you have any food allergies or restrictions? Yes No

Are you vegetarian ? Yes No

Please give details on allergies or restrictions.

Please indicate that you are in good health and are able to participate in this program.

(*) I am in good health and able to participate in this program. Yes

Please indicate that you have read and accept and agree to the program liability waiver, and that you agree to sign a copy prior to participating in the program.

Click here to read the liability waiver. Please print and sign a copy and fax to us at 808-942-4573 or email a scanned copy to reservations@alohaholidayshawaii.com - or sign on arrival.

(*) I have read and agree to the liability waiver. Yes NO

Enter your Credit Card information below.  

CANCELLATIONS: Your non-refundable deposit of $500 is due at time of registration and an additional $1000 is due February 1, 2015.  Final full payment is due April 1, 2015.  If Gilad's Fitness Adventure is cancelled by the organizers, you will receive a full refund.  If you cancel by April 1, 2015 you will receive a refund of $1000 and will forfeit the amount of $500 of your deposit, which is non-refundable portion of the deposit.  Cancellations after April 1, 2015 are not refundable.  There are no refunds for guests who fail to appear or choose to leave early now for any unused meals or other features of the packages.


Alternatively, print this form and mail it to the address above with your payment made payable to Aloha Holidays Ltd. or fax it to 808-942-4573.

Note: Blue fields with a star (*) are required

Cardholder Name: (*)

Address: (*)

City: (*)

Country: (*)

Type of Credit Card: (*)

Expires: (*)

 mm/yy

Press the Submit button only once to prevent overcharging.

 (Aloha Holidays Ltd. does not share customer information with anyone, anytime, for any reason whatsoever.)

Copyright 2015 - Aloha Holidays Ltd. - All Rights Reserved