Around the World in 2018 Registration Questions and Contract
Full Name (Please write it *exactly* as written in your Passport, including middle name) *
Your answer
Preferred name (or nickname)
Your answer
Date of Birth *
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Home Address (please include street address; city; state; ZIP; and country) *
Your answer
Best phone number to reach you *
Just in case we need to get ahold of you more quickly than via email!
Your answer
Preferred email address *
Your answer
Passport country of issue *
Your answer
Passport number *
Your answer
Expiration date of passport *
*VERY IMPORTANT* You will need to have 12 blank pages in your passport and validity until May 2019.
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DD
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Will you have a single room or a shared room on this trip? *
If you are willing to share but don't have a roommate already, we can connect you with other guest desiring a roommate. However, we can't guarantee that you will have a roommate.
If you are sharing a room, what is your roommate's name?
Your answer
Occupation & Interests: Please tell us more about you so we can make sure you get the most out of your time with us! We can help find little gems along the way that are in line with your interests. *
Your answer
Emergency contact information *
Name; Relationship; Phone Number; Email
Your answer
Food allergies (gluten, dairy, etc) / Dietary restrictions (vegetarian, vegan, etc)
Your answer
Do you have any health conditions and/or severe allergies (food, drug, or environmental) we should be aware of? Do you use any medications you will need refrigerated or medical devices that require electricity?
Your answer
What are you hoping to experience on this Around the World adventure? How can we help you get the most out of this experience?
Your answer
Where did you first hear about this trip? *
Your answer
Please read and sign the Tour Contract and Liability Waiver below (You can download a copy for your records here: https://goo.gl/Eekj9i )
I agree to the Tour Contract and Liability Waiver *
Required
Please sign below with your digital signature which consists of your full name *
Example: John Q. Sample
Your answer
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