Road to Berlin 75+1 Liberation Post-Tour
The information on this registration form is confidential and will not be shared. Please fill out (1) registration form per traveler. When you have finished filling out this form, click submit.
What is your e-mail? (We will use this to communicate with you) *
Tour Start Date
May 10th 2021
Tour Return Date
May 15th 2021
Traveller's Name [Please print name exactly as it appears on your passport] *
Traveller's Home Address [Street #, Street Name, City, Province/State, Postal Code]: *
Telephone: *
Date of Birth: *
Emergency Contact Name & Phone Number: *
**If this traveller is under 18 years of age, a legal guardian must register on their behalf**
If this traveller is 18 years or older, skip ahead to the next section!
Legal Guardian's Full Name & Relation to Traveller:
Legal Guardian's Contact [Phone]:
Legal Guardian's Contact [Email]:
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