Ireland Walking Tour: 2024

Name

Phone Number (click on the flag to change country)

Sex (used to assign shared rooms)

Female
Male
Prefer not to state

Nationality (as listed on passport)

Country of Birth

Date of Birth

Address

Are you applying as an individual?

Yes
I am applying to join the tour as an individual.
No
I am applying to join the tour with a friend or family member. If you are applying to join the tour with more than one other person, please include their name(s) in "Name of Traveling Companion(s)."

If you are applying to join the tour with one or more additional applicants, please list their name(s) here regardless of whether you are paying jointly or separately. If you do not want to be accepted to join the tour unless your traveling companion(s) are also accepted, please make a note of that in your application.

Name of Traveling Companion 2

Name of Traveling Companion 3

NOTE: For groups traveling together, each applicant will need to complete the application and sign the release form.

Describe your interest in this tour.

Are you familiar with David Whyte's work?

How many days a week do you walk or engage in other cardiovascular exercise?

Do you experience regular pain in knees, hips, or legs? If Yes, please explain.

Do you have issues with balance?

Do you have any medical issues which impact your ability to hike or walk up to 5 hours a day?

Do you hike on trails? If so, how often and how far?

Do you have any non food-related allergies that we should be aware of?

List any dietary restrictions or food allergies.

List any medications that you are taking.

Describe any past or current medical conditions or procedures that we should be aware of.

Cost of the Tour

The cost to join the Ireland 2025 tour is $5,900 USD per person for a shared room, and $6,500 USD for a private room. This fee covers the cost of accommodation for seven nights, travel within Ireland, all breakfasts, and either lunch or dinner each day. Airfare is not included.
Note: if you are provided a private room, you may not necessarily have a private bathroom.

Payment Schedule

We only accept payment via credit card. If you are accepted to join the tour, you will be notified by email and will be sent a separate accommodation form with payment details to be filled out. Once accepted and your payment information is received, your credit card will be charged on the following schedule.

	Date	Amount	Payment
1.	Week of Feb 17th, 2025 or upon acceptance	$2,500 USD (Individual - Shared or Private Room) $5,000 USD (Couple/Joint Applicants)	Deposit
2.	Mar 31st, 2025	$3,400 USD (Individual - Shared Room) $4,000 USD (Individual - Private Room) $6,800 USD (Couple Registering Together)	Final Payment

If you are accepted to join the tour after February 17th, a deposit of $2,500 USD per person will be charged to your credit card upon the day of acceptance.

If you are applying with another person, both persons will need to complete the application and sign the release form.

Accommodation Preference

Individual - Shared Room
Select this option if you are traveling as an individual, and are not requesting a private room.
Individual - Private Room
Private room requests will be granted as space allows. Please note that even if we can accommodate your request, you may not have a private bathroom.
Couple/Friends - Traveling Together
Select this option if you are traveling as a couple/family/friend, requesting to share a room with each other.

Note: We will need an application filled out for each person traveling.

If you are not selected to join this tour, are you interested in adding your name to the waitlist for another 2025 tour?

Yes
Yes: If I am not accepted to join this walking tour, I am interested in adding my name to the waitlist for a different tour.
No
No: if I am not selected to join this tour, I am not interested in joining a different tour.

All tour participants are required to provide the names of two emergency contacts.

Emergency Contact #1

Emergency Contact #1 Email

Emergency Contact #1 Phone Number

Emergency Contact #2 Name

Emergency Contact #2 Email

Emergency Contact #2 Phone Number

CANCELLATION POLICY

If, after acceptance, you need to withdraw your application prior to March 31st, 2025, Many Rivers will retain $500 USD of your deposit. If you withdraw after March 31st, 2025 Many Rivers will issue you a refund, minus the full deposit ($2,500 USD per person) only if we are able to fill your spot.

We strongly encourage you to purchase travel insurance.

Running Total

$0.00

Total

$0.00

Release Form

POETRY, MYTH and MUSIC FOR THE SOUL
Ireland 2025 Walking Tour with David Whyte

May 31st - June 7th, 2025

HOLD HARMLESS, RELEASE AND ASSUMPTION OF RISK AGREEMENT

1. The undersigned (“I” or “you” or “me”), understands, acknowledges, and agrees to the participation requirements for any and all of the Tours, programs, and/or activities (each, a “Tour” and collectively, “Tours”) in Ireland
beginning on May 31st, 2025, hosted by or affiliated with David Whyte, d/b/a Many Rivers Company, a sole proprietor, and its owners, officers, members, employees, subsidiaries, affiliates, successors and assigns, and each of those acting under its authority (together, “Many Rivers”). I specifically acknowledge that in addition to any incidental harm to me arising out of first aid, treatment or services rendered to me during my participation in this Tour, the Tour involves social
engagement with the possibility of the transmission of communicable diseases, including, but not limited to the novel coronavirus (i.e., COVID-19) and its variants (“COVID”), and that Many Rivers does not have the ability to monitor or
control or limit the potential transmission or spread of these types of diseases. I, and on behalf of my successors and
heirs expressly assume this risk associated or related to participating in the Tour and further agree to comply with all
guidelines and policies established by Many Rivers to manage this risk. By signing this HOLD HARMLESS, RELEASE AND
ASSUMPTION OF RISK AGREEMENT (“Agreement”), you hereby assume and acknowledge all risk, exposure, and liability associated with your participation before, during, or after the Tour, including illness caused by exposure to Covid which may lead to new or chronic-enhanced illness or death.

2. I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Many Rivers, its owners, agents or employees
(hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions, and causes of action
whatsoever arising out of or related to any loss, damage, or injury, including death that may be sustained by me,
WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise, while participating in the Tour.

3. This Agreement integrates and supersedes all prior and contemporaneous agreements, undertakings, covenants, or
conditions (including all prior non-competition agreements entered by me and Many Rivers), whether oral or
written, express or implied, to the extent they modify, contradict, or conflict with the provisions hereof.

4. Any dispute arising under or related to this Agreement shall be governed by the laws of the state of Washington,
without reference to its conflict of law principles. Any such dispute shall be resolved exclusively in the state or federal
courts in King County, Washington. You agree to submit to the personal jurisdiction and venue of courts located in King
County, Washington for any legal proceeding involving the Tour, regardless of who initiated such legal proceeding.

IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT:

A. I have read the foregoing terms of this Agreement, understand it and sign it voluntarily as my own free act and
deed;

B. No oral representations, statements, or inducements, apart from the foregoing written agreement, have been
made;

C. I am at least eighteen (18) years of age and fully competent; and

D. I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.

I, the undersigned, agree to the terms above.