TravelJoy

Show Hide order summary

Total: $0.00

Costa Rica April 11 - 15, 2026

Costa Rica

Costa Rica April 11-15, 2026 —

—

Total —

Due now —

Continue to traveler info

Enter traveler information

Primary Traveler

INCOMPLETE

<html>
  <body>
<form-template>
  <fields>
    <field type="header" subtype="h2" label="Contact Information"/>
    <field type="text" subtype="text" required="true" label="First name" name="first-name" className="form-control"/>
    <field type="text" subtype="text" label="Middle name" name="middle-name" className="form-control"/>
    <field type="text" subtype="text" required="true" label="Last name" name="last-name" className="form-control"/>
    <field type="text" subtype="text" label="Preferred name (nickname)" name="preferred-name" className="form-control"/>
    <field type="text" subtype="text" required="true" label="Primary email address" name="email" className="form-control"/>
    <field type="text" subtype="text" label="Primary phone number" name="phone-number" className="form-control"/>
    <field type="header" subtype="h2" label="Passport Information"/>
    <field type="text" subtype="text" label="Full name as it appears on passport" name="passport-name" className="form-control"/>
    <field type="text" subtype="text" label="Passport number" name="passport-number" className="form-control"/>
    <field type="text" subtype="text" label="Country of issue" name="passport-country-of-issue" className="form-control"/>
    <field type="date" label="Date of birth" name="birthday" className="form-control"/>
    <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>
    <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>
    <field type="radio-group" label="Sex" name="gender">
      <option value="female" label="F">F</option>
      <option value="male" label="M">M</option>
      <option value="other" label="X">X</option>
    </field>
    <field type="header" subtype="h2" label="Emergency Contact Information"/>
    <field type="text" subtype="text" label="Full name" name="emergency-contact-full-name" className="form-control"/>
    <field type="text" subtype="text" label="Phone number" name="emergency-contact-phone-number" className="form-control"/>
    <field type="text" subtype="text" label="Relationship to you" name="emergency-contact-relationship" className="form-control"/>
  </fields>
</form-template>
</body>
</html>

<html>
  <body>
<form-template>
  <fields>
    <field type="header" subtype="h2" label="Contact Information"/>
    <field type="text" subtype="text" required="true" label="First name" name="first-name" className="form-control"/>
    <field type="text" subtype="text" label="Middle name" name="middle-name" className="form-control"/>
    <field type="text" subtype="text" required="true" label="Last name" name="last-name" className="form-control"/>
    <field type="text" subtype="text" label="Preferred name (nickname)" name="preferred-name" className="form-control"/>
    <field type="text" subtype="text" required="true" label="Primary email address" name="email" className="form-control"/>
    <field type="text" subtype="text" label="Primary phone number" name="phone-number" className="form-control"/>
    <field type="header" subtype="h2" label="Passport Information"/>
    <field type="text" subtype="text" label="Full name as it appears on passport" name="passport-name" className="form-control"/>
    <field type="text" subtype="text" label="Passport number" name="passport-number" className="form-control"/>
    <field type="text" subtype="text" label="Country of issue" name="passport-country-of-issue" className="form-control"/>
    <field type="date" label="Date of birth" name="birthday" className="form-control"/>
    <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>
    <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>
    <field type="radio-group" label="Sex" name="gender">
      <option value="female" label="F">F</option>
      <option value="male" label="M">M</option>
      <option value="other" label="X">X</option>
    </field>
    <field type="header" subtype="h2" label="Emergency Contact Information"/>
    <field type="text" subtype="text" label="Full name" name="emergency-contact-full-name" className="form-control"/>
    <field type="text" subtype="text" label="Phone number" name="emergency-contact-phone-number" className="form-control"/>
    <field type="text" subtype="text" label="Relationship to you" name="emergency-contact-relationship" className="form-control"/>
  </fields>
</form-template>
</body>
</html>

<html>
  <body>
<form-template>
  <fields>
    <field type="header" subtype="h2" label="Contact Information"/>
    <field type="text" subtype="text" required="true" label="First name" name="first-name" className="form-control"/>
    <field type="text" subtype="text" label="Middle name" name="middle-name" className="form-control"/>
    <field type="text" subtype="text" required="true" label="Last name" name="last-name" className="form-control"/>
    <field type="text" subtype="text" label="Preferred name (nickname)" name="preferred-name" className="form-control"/>
    <field type="text" subtype="text" label="Primary email address" name="email" className="form-control"/>
    <field type="text" subtype="text" label="Primary phone number" name="phone-number" className="form-control"/>
    <field type="header" subtype="h2" label="Passport Information"/>
    <field type="text" subtype="text" label="Full name as it appears on passport" name="passport-name" className="form-control"/>
    <field type="text" subtype="text" label="Passport number" name="passport-number" className="form-control"/>
    <field type="text" subtype="text" label="Country of issue" name="passport-country-of-issue" className="form-control"/>
    <field type="date" label="Date of birth" name="birthday" className="form-control"/>
    <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>
    <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>
    <field type="radio-group" label="Sex" name="gender">
      <option value="female" label="F">F</option>
      <option value="male" label="M">M</option>
      <option value="other" label="X">X</option>
    </field>
    <field type="header" subtype="h2" label="Emergency Contact Information"/>
    <field type="text" subtype="text" label="Full name" name="emergency-contact-full-name" className="form-control"/>
    <field type="text" subtype="text" label="Phone number" name="emergency-contact-phone-number" className="form-control"/>
    <field type="text" subtype="text" label="Relationship to you" name="emergency-contact-relationship" className="form-control"/>
  </fields>
</form-template>
</body>
</html>

Continue to traveler info

Credit Card Authorization

1

Select the amount you would like to authorize:

1

Select the amount you would like to authorize:

Authorize deposit

Final payment of $4,500.00 is due on February 25, 2026

$0.00

Authorize full amount

$4,500.00

2

Please add a card to authorize:

2

Please add a card to authorize:

3

Sign and agree to the terms and conditions:

3

Sign and agree to the terms and conditions:

By signing below, I authorize BLU by ThriveWell to charge the credit card provided herein.

Click to sign

Costa Rica April 11 - 15, 2026

Costa Rica April 11 - 15, 2026

Costa Rica

Costa Rica April 11-15, 2026 —

—

Total —

Due now —

Continue to traveler info

Our system uses SSL encryption, which is the same technology banks use to protect sensitive information.

Costa Rica April 11 - 15, 2026

Costa Rica

Costa Rica April 11-15, 2026 —

—

Total —

Due now —

Continue to traveler info