A Modern-Day Vision Quest Reservation Form

Your name:                  


Home Phone:                

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Best time or day? 


Any special requests or needs? 



Please tell us a little about yourself and why you would like to participate in this Workshop.




All requests are subject to availability at the time of your reservation. We will make every effort to accommodate you.  Rooms are double occupancy.  Single rooms are available upon request at an additional charge.                          


Would you like REQUEST ITALY to contact you regarding any pre-Workshop or post- Workshop itineraries? 

  Y       N


I have read, understand and agree to the terms and conditions including cancellation policies.

Your name:




A non-refundable 50% deposit is required to hold your space.

Upon the receipt of this reservation, for your convenience, we will invoice you via PayPal. 

Upon completion of the transaction, we will send you a confirmation and contact you to schedule a pre-workshop conversation.


The terms and conditions listed below govern and apply to TABULA RASA COACHING as set forth in the brochure itinerary provided herewith (“the itinerary”).  These terms and conditions are agreed upon by Client, identified below, and., its partners, representatives and owners.

Travel Insurance:   All guest are required to be contracted for travel insurance. It is your responsibility to check that you have adequate insurance coverage. The insurance should cover, amongst other things, the cost of cancellation by you, personal losses, all medical costs and the costs of assistance including return to your country of residence in the event of an accident or illness.

It is your responsibility to ensure you have the relevant travel and health documents before departure for the country you are visiting, which shall include, but is not limited to, any inoculations that may be required, identification and passport. TABULA RASA COACHING. shall not be liable for any expense incurred resulting from your missing, incomplete or incorrect documentation or any non-compliance with any domestic or international requirements.

TABULA RASA COACHING shall not be liable for any damages or losses that may result from travel to any particular destination. The Government of your country may help travellers stay safe overseas. Check with your government for the latest advice and conditions and general information concerning specific countries. 

TABULA RASA COACHING  shall not be liable to the Client for any loss, damage, costs, expenses or other claims for compensation arising from any fault of the Client, such as, but not limited to, any instructions supplied by the Client which are incomplete, incorrect, inaccurate, illegible, out of sequence or in the wrong form, or arising from their late arrival or non-arrival.

Agreed Itineraries: Independent ProvidersTABULA RASA COACHING has arranged various optional services through independent providers who have no legal affiliation to TABULA RASA COACHING.  TABULA RASA COACHING does not own or operate the equipment, vehicles or facilities used during these itineraries and assumes no responsibility for the negligent act and/or omissions of the provider. Chauffeur service, tours and all services set forth in the itinerary are subject to change or delay at any time due to unforseen circumstances beyond the control of TABULA RASA COACHING.  Planned events in Italy can change with very little notice or no notice whatsoever. TABULA RASA COACHING reserves the right to change venues or scheduling  if unforseen circcumstances, or circumstances beyond their control, are assessed as impacting the  quality and integrity of the program. Should certain facilities, events, or areas be closed or unavailable, TABULA RASA COACHING will take every reasonable effort to propose and organize similar alternative facilities, events, or areas, as applicable. All partipants will be adivised in advance of any required change.

Limits on Responsibility: TABULA RASA COACHING is not responsibile for any injury, loss, death, inconvenience, delay or damage to personal property in connection with the provision of any goods or services whether resulting from force majeure, illness, disease, acts of war, civil unrest, insurrection or revolt, animals, strikes or other labour activities, criminal or terrorist activities of any kind, closure of borders, epidemic, natural catastrophe, food poisoning, medical or other failure of aircraft or other means of transportation or for failure of any transportation mechanism to arrive or depart on time, and other causes that seriously affect Client or both parties and other unforseeable causes beyond our control.

Cancellations:  Deposit and final payments are non-refundable.  If, for any reason,  the tour is cancelled by TABULA RASA either prior to or during the course of the trip, all monies applied to the services and accommodations provided for as outlined in the itinerary that have not yet been distributed or are subject to a cancellation fee by the service provider, shall be fully refunded.  Please refer to your travel insurance regarding refunds for trip cancellations. Adjustments or revisions to events, tours and excursions do not qualify as a cancellation.

Claims and Refunds:  Claims and Refunds will only be processed by TABULA RASA COACHING for services that are directly provided. Claims must be received in writing within 30 days of the termination of the service and be accompanied by suppporting documentation verifying the claim. Any adjustment considered will be based on the value set forth by TABULA RASA COACHING for the sevice provided. Refunds will not be given for late arrival at a scheduled event or any missed services.  All other claims and requests for refunds should be submitted by you directly to the appropriate vendor.

Travellers Risks:  The Client assumes all risks associated with participating in the tour program, which may include walking and/or climbing in difficult terrain with steep ascents, descents, uneven  cobblestones, farmland, stairways without handrails, unpaved walkways, dirt roads and stone steps. Some activities are not regulated by any industry safety standards and the Client assumes all risks associated therewith. The Client agrees to come properly attired for any type of weather conditions that may exist. The Client agrees to be responsible for monitoring his/her own dietary restrictions, allergies, including food allergies, and alcohol consumption. The Client is  encouraged to check with his/her health insurance provider to ensure that his/her medical coverage extends to International travel.

Release of Liability and IndemnificationThe Client agrees to release, hold harmless, indemnify and defend TABULA RASA from any and all liability, claims and causes of action arising out of or connected in any way with participation in any activities by the Client, the Client’s travelling companions, minors, as well as any costs or expenses, including reasonable attorney fees incurred in connection with such claims.


Dispute Resolution TABULA RASA COACHING. will always try to avoid any potential duress to the Client and work to find a reasonable solution. TABULA RASA COACHING values their business ethics and goodwill and will demonstrate said qualities in the event of any conflict or unforeseen events.

TABULA RASA COACHING. and the Client expressly agree that any disputes arising out of these terms and conditions shall be resolved by applying Pennsylvannia law. Resolution shall be decided by one neutral arbitrator. The location for arbitration wil be selected by TABULA RASA COACHING. When the location assigned is in the United States, the arbitration willl be governed by the rules of the American Arbitration Association. For arbitration held in Geneva, the rules of the International Chamber of Commerce will apply. Costs of arbitration, enforcement and attorney’s fees shall be borne by the losing party.  The arbitrator shall not have the power to order pre-hearing discovery of documents or the taking of dispositions, but may compel attendance of witnesses and the production of documents relating to the specific matter only, at the hearing. TABULA RASA COACHING must receive notice of any dispute in writing.

Jurisdiction: These terms and conditions, and your acceptance of them by booking a service through us, are governed in accordance with Pennsylvannia law, and both parties shall submit to the jurisdiction of the State of Pennsylvannia at all times.