Name *

As it appears on your passport

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone Number *

(###)

###

####

Address *

Address where you want your En Root T-shirt sent to

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you a U.S. citizen? *

Yes

No

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone Number *

(###)

###

####

Is this your first En Root Travel trip? *

Yes

No

Is this your first trip outside of the U.S? *

Yes

No

Is this your first trip to Oaxaca, MX? *

Yes

No

I understand that it is required by the government of Mexico and En Root Travel, LLC. to abide by the mandatory mask protocol during this trip. *

I agree

I understand that it is required by En Root Travel, LLC. to obtain a negative COVID-19 test (Antigen, PCR, or Home Test) taken no more than 48 prior to the date of departure. *

I agree

I understand that it is required by the government of Mexico and En Root Travel, LLC. to obtain a negative COVID-19 test (Antigen or PCR) taken no more than 24 hours prior to departure for re-entry to the United States (En Root Travel, LLC. will provide access to this test) *

I agree