Sketching Provence and the Riviera ~ Registration Form

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Ready for adventure? Please complete this registration form to join the tour. Don't forget to read the Terms & Conditions carefully as you are bound to them upon submitting registration.

Please complete a separate form for each traveler.

Travel Destination: Provence & Nice, France
Travel Dates: October 8—15, 2023

Hosting Organization: The 92nd Street Y, New York City

Email *

Full Name (Per Passport) *

Preferred Name

Date of Birth *

YYYY

Mailing Address *

City and State *

Zip Code *

Cell Phone Number *

Passport Number

Passport Expiration Date

YYYY

Lodging Selection ~ If registering for double occupancy, please select the same option for each traveler and indicate your travel companion/partner's name under "Roommate Request" below.

Your Selection

Double Occupancy (one king/queen bed) $7100

Double Occupancy (two twin beds) $7100

Single Occupancy (one king/queen bed) $8200

Clear selection

Roommate Request

If traveling solo, would you like to be paired with a roommate (if possible)?

Yes

Maybe

Clear selection

How would you like to pay for the trip? *

Trip cost is $7100 or $8200 based on lodging choice. $1,250 deposit due upon booking ($250 non-refundable). Balance due by June 1, 2023. An invoice will be sent to you once this form is received. You are very welcome to pay with credit card but note a 3% surcharge applies.

Pay with a check payable to Onward Travel LLC. If you select this option, please mail check to 32 Crist Lane / Walden, NY 12586. We will send you a receipt when payment is received. (No surcharge)

Pay with a credit card via Stripe. A 3% surcharge applies. Payment may be made securely at onwardtravel.co/make-a-payment (password ONWARD).

Pay with a Zelle bank transfer to molly@onwardtravel.co (No surcharge)

Required

Please share special accommodations needed including dietary restrictions/preferences, medical conditions, allergies, limited mobility, etcetera. And don't be shy, we really need to know these things and we are happy to accommodate!

I understand that in order to participate I am required to be fully vaccinated against Covid-19. I will be able to provide proof of vaccination to Onward Travel upon arrival in France. I also confirm that I will comply to local regulations regarding masking or other pandemic precautions. *

Yes

I would like to discuss

Required

Emergency Contact Name (an individual not traveling with you)

Emergency Contact Relationship

Emergency Contact Phone Number

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