Come And Learn To Walk | Israel-In-Depth Registration Form
February 20 - March 6, 2021. All fields are required.
Email address *
PERSONAL INFORMATION
First Name (as on your passport) *
Your answer
Middle Name (as on your passport)
Your answer
Last Name (as on your passport) *
Your answer
Tag Name *
This is the name we will use on your name and luggage tags, which may or may not be different from your legal name as on your passport.
Your answer
Street Address
Your answer
City
Your answer
State
Zip Code
Your answer
PASSPORT INFORMATION
Date of Birth (DOB) *
MM
/
DD
/
YYYY
Passport Number *
Your answer
Passport Expiration Date *
MM
/
DD
/
YYYY
Citizenship *
Name of Country
Your answer
EMERGENCY CONTACT INFORMATION
Please list at least one emergency contact person with a phone number and email address. You may list more than one if you like.
First Name, Last Name, Relationship, and contact
Your answer
TRAVEL INFORMATION
I would like to room with...
Your answer
Single Room Supplement
Disclosure *
Required
By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *
(Yes, this is a redundancy for electronic submissions.)
Your answer
RESPONSIBILITY/LIABILITY CLAUSE
“Spark Church” and “Come And Learn To Walk” shall not be or become liable for any loss, injury, damage, or delay to individuals or property in connection with any transportation, accommodations, or any other services resulting directly or indirectly from acts of God, dangers at sea, fire, machinery, or equipment breakdown, sickness, epidemics, quarantine, medical or customs regulations, pilferage, labor disputes, strikes, riots, thefts, government restraints, hostilities, civil disturbances, acts of terrorism of any kind, wars whether declared or not, losses or delays or additional expenses resulting from insufficient or improperly issued passports, visas and/or other travel documents. Tour cost does not include trip insurance which can be purchased through independent vendors.

I will not hold Come And Learn To Walk or Spark Church, or any of their affiliates, liable or responsible for any additional expenses or liability sustained or incurred by tour participants as a result of tour cancellations or itinerary changes whenever in the sole judgment of the operator they are deemed necessary for the comfort, convenience, and/or safety of the tour.

Come & Learn to Walk reserves the right to substitute comparable hotel accommodations without prior notice when necessary. Registration and payment constitutes your acceptance of the tour program conditions and Statement of
Responsibility.

I acknowledge that political or social unrest may be present in areas scheduled to be visited and Come & Learn to Walk reserves the right to change the itinerary and/or delete sites it deems appropriate to avoid security risks.

I hereby release and hold harmless, Come and Learn to Walk, Spark Church and their employees, or representatives, from any and all claims for loss or damage of property, for personal injuries or death, or for loss from any delay arising out of acts, omissions, or negligence of any independent vendor or contractor.

BY SIGNING BELOW, I attest to my medical and physical fitness to participate in this tour and voluntarily agree to the terms of this agreement.
SIGNATURE *
Your answer
INITIALS *
I understand my registration requires a deposit check of $400, and a photocopy of my face page of my passport to be sent to kevin@spark.church, or mailed to Come And Learn To Walk, PO BOX 1481, Palo Alto, CA 94302
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy