2023 Jordan Tour Registration

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Wisdom Passages
8309 Henderson Road
Apex, NC 27539
Phone: 641-780-8737
www.wisdompassages.com

July 2-5

Tours are led by Dr. Tim Sigler

If you use a Gmail email address, your progress will be saved as you fill out this form.

If you wish to register for another tour, do not use this form. Contact us at info@wisdompassages.com or visit our website for upcoming tour details.

Email *

Name as it appears on your passport *

Phone Number - include country code if you don't live in the United States *

Passport Number

Passport Expiration Date

Please answer if you do NOT have a passport

I have applied for a passport

I have not yet applied for a passport

Clear selection

Your passport must be valid for at least six months following your entry date to your travel destination. Will your passport expire at least six months after the date of travel?

Yes

No (Please be sure you can renew your passport in time to travel.)

Clear selection

Date of Birth (Type in month, day, year) *

YYYY

Nationality *

Gender *

Female

Male

Country of Residence *

U.S.A.

Other:

Address *

Names of friends or family traveling with you

Room preference

I am willing to share a room with another person.

I prefer my own room and am willing to pay the additional fee stated on the tour web page.

Clear selection

(If applicable) I would like to share a double room with

Air travel preference *

I would like for you to purchase my airline ticket at the best rate available.

I will make my own air travel arrangements and let you know the details as soon as possible.

Please choose one *

I will make my own arrangements for travel insurance.

I like to take risks and do not plan to purchase travel insurance.

Dietary restrictions *

None

Vegetarian

Vegan

Kosher

Gluten-free

Other:

Emergency contact (name, email, phone) *

For your own safety and the benefit of those caring for you in the event of an injury, please list all communicable diseases, mental health conditions, and medications. If none, please type "None" *

List all medications (please do not begin or cease prescriptions in conjunction with travel without the consent of your doctor). If none, please type "None"

Click the link to read the ASSUMPTION OF RISK, WAIVER, & RELEASE OF LIABILITY: https://www.wisdompassages.com/tour-waiver

I UNDERSTAND and AGREE WITH the ASSUMPTION OF RISK, WAIVER, & RELEASE OF LIABILITY and I fully understand its content. I am aware this is a waiver & release of liability. *

Yes

Send me a copy of my responses.

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