Welcome to The Lighthouse Retreat!

To comply with Nicaraguan law, we’re required to register passport details for all guests. Please have your passport and credit card ready upon arrival for verification.

Completion of this form is required to access your cabaña.

A credit card authorization is used only for incidentals (meals, spa, excursions) and ensures a smooth check-out. All information is securely stored.

See you in paradise!

Guest First name

Guest Last name

Email

Number of guests

Please note the second guest is also required to complete the form https://www.thelighthouselci.com/onlinecheckin

Phone

Arrival Date

Arrival Time

Time

HoursMinutes

Departure Date

Departure Time

Time

HoursMinutes

Country

Company name

Passport Number

Wix Protect personally identifiable information (PII) like addresses and passport info with an additional layer of protection.

Birthday

Month

Day

Year

CREDIT CARD AUTHORIZATION AND INCIDENTAL CHARGES CONSENT FORM

CARDHOLDER NAME:

CARDHOLDER ADDRESS AND POSTAL CODE

CREDIT CARD TYPE (Visa, MasterCard, etc.)

CREDIT CARD NUMBER:

CARD EXPIRATION DATE:

CARD SECURITY CODE:

I, the undersigned, authorize The Lighthouse Retreat to charge my credit card for all room charges, food or drinks, spa treatments, island excursions, equipment rentals, and any other incidentals incurred during my stay. I acknowledge and agree that an additional 6% credit card processing fee will be applied to all charges.

I have read and I agree to Our Privacy Policy and Terms & Conditions www.thelighthouselci.com

By signing below, I confirm that I am the authorized cardholder and agree to the terms outlined above.

Date

Month

Day

Year

Special requests, allergies or additional notes

Donation

$10

$20

$30

We proudly donate and host special cookouts for local children on special days such as Mother's Day, Christmas, and Children's Day. Guests are welcome to bring art supplies or make a donation. Your donation will go to funding reading and art supplies, and sports initiatives. create lasting memories while giving back to the island community.

Join Our Community Projects

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Signature

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The Lighthouse Retreat is a U.S.-registered business under The Lighthouse Retreats LLC. Retreats are hosted on Little Corn Island, Nicaragua, while bookings and administration are managed through a U.S. business team.

https://www.thelighthouselci.com/ | Email: Book@thelighthouselci.com

Our website is hosted on Wix, a secure platform that uses SSL encryption and Protect personally identifiable information (PII) like addresses and passport info with an additional layer of protection to protect all personal and payment information. All data submitted through this form is securely stored and handled according to standard data protection practices.

Welcome to The Lighthouse Retreat!

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