Gift Cards Now Available 2024 Seminar Dates Winter Session Spring Session Summer Session Fall Session Part 1 Jan 5-7 Mar 1-3 Jun 7-9 Sep 6-8 Part 2 Jan 18-21 Mar 14-17 Jun 20-23 Sep 19-22 Part 3 Feb 2-4 Apr 5-7 Jul 19-21 Oct 25-27 "*" indicates required fields Gift Card Purchaser InformationName of Gift Card Purchaser* First Last Mailing Address of Gift Card Purchaser* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Cell Phone*Email*Gift Card Recipient InformationName of Gift Card Recipient* First Last Cell Phone of Recipient*Email of Recipient*Is the Gift Card Recipient a Veteran or 1st Responder (or Spouse of Veteran/1st Responder)?* No (or Unsure) Yes - Recipient is a Veteran/1st Responder (or spouse of Veteran/1st Responder) Seminar InformationPLEASE NOTE: Due to the experiential nature of The Road Adventure, social distancing is not possible during your experience. By choosing to begin, continue, and conclude your experience at The Road Adventure you understand and accept that social distancing is not possible and that you agree to assume and accept all risks and liabilities accordingly. Masks are optional.Seminar Costs* Parts 1, 2 & 3 (All; $600) Part 1 ($125) Part 2 ($275) Part 3 ($200) Other Amount (Specify Price Below) Seminar Options and Dates (for Veterans & 1st Responders)* Parts 1, 2 & 3 (ALL; $500) Part 1 ($125) Part 2 ($225) Part 3 ($150) Other Amount (Specify Price Below) Gift Card Amount This field is hidden when viewing the formDate PurchasedGift Card IDPlease note: All registrations for the Part 1 Adventure must be completed and a nonrefundable payment is due 7 days prior to the start of the seminar you wish to attend. This is to ensure that we can adequately prepare for your participation and provide the best possible experience.Payment SectionPayment Method*Credit CardPayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Total CAPTCHACommentsThis field is for validation purposes and should be left unchanged. Δ