Participant Sign-Up Form
$300 non-refundable deposit per person if your trip less than 1500.00
$500 non-refundable deposit per person if your trip more than 1500.00
Deposit needs to be paid by check, please call 713-900-4009 to get the address
Please must fill one out per traveler even for infant-please make sure to use the comment to advise about your roommate
Email address *
Which trip will you be attending? *
Please write-in date of trip that you wish to attend: MM/DD/YYYY
Your answer
How many people are traveling with you? *
Indicate number, including yourself
Your answer
Full Legal Name of Traveler #1 *
As it appears on passport
Your answer
Date of Birth for Traveler #1 *
mm/dd/yyyy
Your answer
Email Address *
Your answer
Phone Number *
(xxx)-xxx-xxxx
Your answer
Occupation
Your answer
Would you like a single room? *
Which method of payment will you be using? *
**Please note: There will be a 3% extra fee for using a credit/debit card
Card Type
Card Number
xxxx-xxxx-xxxx-xxxx
Your answer
Expiration Date
mm/dd/yyyy
Your answer
CID
Your answer
Street Address
Your answer
City and State
Your answer
Zip Code
Your answer
Deposit for Land Package - deposit due within 7 days from the date of registration
Your answer
Do you authorize this charge to your card?
Authorization
e-signature. Type Full Legal Name
Your answer
Date
mm/dd/yyyy
Your answer
Further comments or information that we should know
Your answer
Submit
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