Tell Us About You

This short questionnaire allows us to get to know you before coming on the trip. It is mandatory for all WTA travelers. This is not used for any other purposes besides learning about how to best serve you on this unique and purposeful vacation experience. We do not share your information with any marketing companies. Please take a look at our Terms + Conditions before you agree below. 

Name *
Name
Phone *
Phone
City/State/Country
Job Title & Field
We're not judging, we promise
Do you Follow us on Social Media?
How did you hear about WTA? *
Best Mode of Contact *
If YES, please explain your experience...
If YES, please explain in more detail...
What excites you & makes you feel alive?
Have you been clear by your doctors to participate on a WTA trip (GP, MD, PhD, PsyD) *
Do you Agree to the WTA Terms + Conditions? *