General Information

Please provide your name EXACTLY as it appears on your passport. If you do not yet have a passport, please provide the exact name you will use when applying for your passport.
Please register below for the Ben Tire incentive trip to be held in Cabo San Lucas, Mexico from Februray 27 - March 4, 2022. The deadline for registration is January 14, 2022.
 
Please Note: The Ben Tire incentive trip is for adults 18 and over only.
 
 
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U.S. citizens are required to carry a valid passport when traveling to Mexico. The Bureau of Consular Affairs states that your passport must be valid six (6) months beyond your planned stay (September 4, 2022 if you are departing on the March 4 group departure day) and should have at least three blank visa pages. 
 
Please refer to the Passport Information section of this form for details on how to apply for a passport. Please DO NOT wait for your passport to arrive before registering. Fill out the Registration Form now and send your passport information to Ben Tire Guest Services when it arrives.
 
Please note: If you are not a U.S. citizen, your National Consulate or Embassy can answer any questions you may have regarding the entry requirements for your individual travel documents. For specific questions regarding entry, please contact one of the Embassies or Consulates of Mexico.
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Travelers are reminded to follow the Centers for Disease Control and Prevention (CDC) travel guidelines as well as local and state advisories regarding COVID-19.

Principal's General Information

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Do you have any notable medical concerns (i.e. diabetes, penicillin allergy, etc.) in case of emergency? *
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Please provide your guest's name EXACTLY as it appears on their passport. If they do not yet have a passport, please provide the exact name they will use when applying for a passport.

Guest's General Information

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Contact Information

Principal's Contact Information

Please list the address to which you'd like your pre-trip mailing sent. Is this your home or work address? *

Your pre-trip package will be mailed to the location indicated above. Please provide a physical street address, no P.O. Boxes, please!

Your emergencey contact should be someone other than the person with whom you are traveling.

Guest's Emergency Contact Information

Your emergencey contact should be someone other than the person with whom you are traveling.

Passport Information

Principal's Passport Information

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Guest's Passport Information

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Home Airport & Flight Preference

Principal's Home Airport and Flight Information

Here is what is included with your airfare on the Ben Tire Breathless Cabo Program:

* Round trip economy class airfare from your home city to Cabo San Lucas (depending on flight schedules from your home-city airport) on Feb 27, 2022. Return flights depart on March 4, 2022 from Cabo San Lucas. 

*  One checked bag per-person and one carry on per-person is included.

*  Pre-reserved seat assignments are included.

Paid Air Upgrades
If you would like to fly in business/first class or premium economy, please indicate below and we will contact you with the additional cost for an upgrade. Your credit card will not be charged until we've contacted you with the additional airfare and you've agreed to the charges.

Class of Service Request *
Principal's seat preference on aircraft - please note, we will do everything possible to accommodate your seating request and seat your guest next to you.

Guest's Home Airport and Flight Information

Cabo Activity Choice

Message Therapist Preference *
Message Therapist Preference *

Extending Your Stay

Do you plan to extend your stay in Cabo San Lucas? *
Please note, Ben Tire is not holding pre or post extension rooms at the Breathless Resort & Spa in Cabo San Lucas and rooms/rates will be on a space available basis. If available the extension rate applies for three nights prior to the group's arrival (February 24, 25 & 26) and three nights after the group's departure (March 4,5 & 6).
 
 
– SPECIAL RATE AT THE BREATHLESS RESORT & SPA – 

$554.48 USD, including taxes, per room based on double occupancy per night.

You will be asked to present a credit card at check in and the Breathless Resort & Spa
will charge your card for your extra nights at that time.
Please indicate your extension preferences below. A representative from Ben Tire Guest Services will contact you to confirm your reservation and to discuss air arrangements. *
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General Release Waiver

This General Release and Waiver of Liability Form is mandatory. We cannot send your airline tickets until we receive all of your forms, including your signed Waiver Form. By entering your name below in this online form and checking the box, you are acknowleding acceptance of this Waiver and Liability.

I. ACKNOWLEDGEMENT OF RISKS. I, the undersigned participant (“the Participant”), acknowledge and understand that my participation in the Ben Tire Breathless Cabo program (“the Trip”), and such other related excursions, activities, or programs engaged or entered into by me in connection with the Trip, may involve risk of harm, injury, disability, serious bodily injury and/or death, and loss of or damage to my personal property. I further acknowledge that it is my decision, and my decision alone, to participate in the Trip and any other Trip-related activities, and I accept the risks outlined above with full knowledge and awareness of such risks.

II. GENERAL RELEASE AND WAIVER OF LIABILITY. In consideration of my participation in the Trip and other Trip-related activities, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Participant, on the Participant’s behalf, and on behalf of the Participant’s heirs, successors or assigns, administrators and personal representatives, does hereby COVENANT NOT TO SUE, FULLY RELEASE AND FOREVER DISCHARGE (i)BenchMark Incentives (ii) Ben Tire and each of their respective direct and indirect subsidiaries, affiliates, partners and related entities, (iii) each of their respective directors, officers, employees, agents, insurers, attorneys, shareholders and representatives, and (iv) each predecessor, successor, and assign thereof, from and against any and all actions, charges, claims, losses, costs, damages, expenses (including attorney’s fees and expenses) and liabilities of any kind or character, whether known or unknown, in connection with, arising out of or in any way related to the participant’s participation in the Trip and any other Trip-related activities, including without limitation (i) Participant’s air or land travel to and from the airport and/or the hotels in Cabo San Lucas, (ii) Participant’s engagement or participation in any activities while in Cabo San Lucas, and (iii) Participant’s engagement or participation in any Trip-related excursions, activities, or programs, including but not limited to claims of negligence or wrongdoing, personal injury or harm (including serious bodily injury and/or death), and property damage or loss of any kind or nature.

III. AGREEMENT TO TERMS AND CONDITIONS. Participant represents that Participant (i) has read the foregoing General Release and Waiver of Liability, (ii) has been given an opportunity to ask questions about its contents and/or seek the advice of an attorney, (iii) fully understands its contents and the waiver of Participant’s legal rights contained therein, (iv) understands that the general release is intended to be as broad as permitted by law, and (v) voluntarily, and without any inducement, agrees to the terms and conditions set forth therein.

By entering your name below and checking the box below you agree to the above terms for yourself and any traveling companion. 

Risk Waiver Acceptance *
Risk Waiver Acceptance *
After clicking the submit button below, you should immediately be redirected to a page confirming your successful registration submission. If you are not redirected, it means there are mistakes in the form the need to be corrected. These errors will be highlighted by a red box.
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