Kapuhala Retreat Registration

Registration for Kapuhala Retreat (20-22 Nov 2020)

You'll need the following to complete the registration:
- Copy of passport to upload (photo taken with camera is acceptable)
- Outbound & inbound flight info
- Credit card

Select Date*
Occupancy*
Retreat Package (Single Occupancy)*
Retreat Package (Double Occupancy)*
Your Name*
As it appears on your passport
Family Name First Name(s)
Email*
Phone*
Gender*

Date of Birth*
Year
Month
Day
Upload Copy of Passport*
Accepted file types: jpg, png, jpeg, pdf, Max. file size: 10 MB.
Will accept .jpg, .png, .pdf (up to 5MB)
Do you wish to share a room with a friend/partner? If yes, please include their name.

Emergency Contact Name*
Emergency Contact Relationship*
Emergency Contact Phone #*

Flight Details (optional)
Let us know what flights--both inbound and outbound flight code and departure/arrival times you booked or plan to book so we can arrange airport transfers. The hotel is very close to the airport, and this year there is free hotel transfers, so if there is much difference in what time you all arrive, we will convene later at the hotel instead of having the earliest arrivals wait at the airport.

View Recommended Flight Options
Upload Flight Itinerary
Accepted file types: jpg, png, jpeg, pdf, Max. file size: 10 MB.
Will accept .jpg, .png, .pdf (up to 5MB)
Inbound Flight Code
Inbound Flight Details (Date & Time)
Outbound Flight Code
Outbound Flight Details (Date & Time)

Special Requests
Any dietary requests
Do you have any nutrition requests (i.e. I really LOVE "coconut water" or "dried banana chips as a mid-run snack")? We can't promise you the world, but we will do our best to provide an assortment of both meals and mid-run snacks that you'll enjoy!
Special Dietary Restrictions / Preferences
Do you have any special dietary restrictions or preferences (i.e. vegetarian, vegan, peanut allergy, etc.)
Other information / questions / concerns
Do you have any other questions, concerns, etc?

Pace Group
Please enter the approximate time for the following distances so we can group you according to your pace.
42K Marathon*
21K Half Marathon*
21K Trail*
10K Trail*

Special Promotion
Milestone F1 Ultra Trail Runner Headlamp (battery included) (value HK$1500) + 1 one spare battery (value HK$350). Made in Japan

Made in Japan! Get HK$200 off with purchase of Milestone F1 Headlamp + battery and one additional spare battery. View product
Price: HK$1,650.00

Consent*
By submitting this form, you confirm you have read through and agree to abide by the terms set out in this waiver
1. I acknowledge that I am responsible for myself at this retreat and have purchased adequate private travel insurance for the Japan Retreat to cover all medical expenses, loss of property, personal liability, trip‐cancellation or travel delay expenses which may arise.
2. I understand that by participating in the Japan retreat there are risks of injury, death and/or property loss. I hereby join the retreat at my own risk and responsibility. I discharge the Organiser and any other individuals or organisations connected directly or indirectly with the retreat from any responsibility in the event of loss of property incurred during, or as a consequence of my participation or while travelling to or from the retreat.

3. I confirm that I have consulted a qualified medical practitioner and I am physically fit and capable of participating in this retreat. I am not pregnant, or suffering from heart disease, high blood pressure, or other chronic diseases which will render me unfit to participate in the retreat. I acknowledge that the Organiser has the right to disallow, disqualify or suspend me from participating in the retreat at any time and without compensation if the Organiser is aware of my above medical condition.

4. I understand and accept that the risks include the fact I may become injured or incapacitated in a location in another country. I consent to receive medical treatment which may be deemed necessary by the Organiser during the retreat, and I agree to indemnify the Organiser for all costs relating to any medical treatment, transportation and/or evacuation that will be applied to me if I am injured in the retreat.

5. I permit the use of my name and other data collected from me during the retreat, in photos, broadcasts, newspapers, brochures, online media and other marketing activities related to the Japan Retreat by the Organiser, their partners, agents, sponsors and associates.

6. If I am registering a child under the age of 18 or an incapacitated adult, I represent and warrant that I am the parent or legal guardian of that participant, and I have the legal authority to enter into this Agreement on their behalf. Each participant agreeing to this Agreement for him/herself and/or on behalf of another participant agrees to indemnify, defend, and hold the Organiser harmless from any liability, claim, demand, cause of action, damage, loss, or expense (including all legal costs) of any kind or nature.

7. I hereby waive, release, covenant not to sue and forever discharge the Organiser for all liabilities, claims, actions, or damages that I may have against the Organiser arising out of or in any way connected with my participation in the retreat, including without limitation any liabilities, claims, actions, or damages caused by the negligence of the Organiser, including any negligent rescue attempt, action or inaction to such extent as permissible by law.

8. I acknowledge that the Organiser shall not be liable to me for any direct, indirect, incidental, special, consequential or exemplary damages, including, but not limited to, damages for loss of profits, goodwill, use, data or other intangible losses (even if the Organiser has been advised of the possibility of such damages), resulting from:
a) the use or the inability to use the Organiser’s sites, products or services;
b) the cost of procurement of substitute goods and services resulting from any goods, data, information or services purchased or obtained or messages received or transactions entered into from the Organiser’s sites;
c) my participation in any promotion or program coordinated by the Organiser;
d) personal injury not caused by the Organiser’s act or negligence;
e) unauthorised access to or alteration of my transmissions or data;
f) statements or conduct of any third party on the Organiser’s sites;
g) any other matter relating to the Organiser’s sites, or the Organiser’s products or services;
h) my participation in the retreat.

9. I agree that the Organiser’s maximum liability to me, for any reason or cause whatsoever and to such extent as permissible by law, shall not exceed the total amount of monies received by the Organiser from me.

10. I agree that the laws of the Hong Kong Special Administrative Region shall apply to this Agreement, and to submit all disputes arising from this Agreement to the exclusive jurisdiction of the courts of the Hong Kong Special Administrative Region.

Payment Summary
Retreat Plan
Milestone Headlamp Promotion
Coupon
Total
HK$0.00

Payment
Total
HK$0.00
Credit Card*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Registration for Kapuhala Retreat (20-22 Nov 2020)

Flight Details (optional)

Special Requests

Pace Group

Special Promotion

Payment Summary

Payment