Our Time in History Tour Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Tour Information

Tour Name: 2023 JANICE PONDS' PRAYER TOUR
Dates: September 25-29, 2023
Itinerary: Washington, D.C. and Gettysburg
Tour Includes: professional tour guide, 4 nights' accommodations in Washington, D.C. metro area (double occupancy), ground transportation (from airport on arrival, throughout the week, and returning to airport at end of tour), entrance fees to ticketed attractions, four breakfasts, four lunches, four dinners

Cost: $1875 per person (double occupancy); air is NOT included
Deposit: $100 nonrefundable, due upon receipt of invoice
Final Payment Due: Monday, Monday, July 24, 2023 at 11:59pm

Registration Deadline: Sunday, February 19, 2023 at 11:59pm

Please note that space is very limited on this small group tour. Complete this registration form and pay your deposit ASAP to reserve your spot!

Registration Information

To register for this tour, please complete the following steps:

1) Complete this form. You should receive a confirmation email shortly after you submit the form; if you don't, check your spam folder first and then email us at ourtimeinhistory@gmail.com.

2) Complete the Accident Waiver and Release of Liability Form, which can be found here: http://tour.ourtimeinhistory.com/waiver. Send the completed form back to us at ourtimeinhistory@gmail.com.

3) Review and sign the Behavioral Expectations Form, which can be found here: http://tour.ourtimeinhistory.com/expectations. Send the completed form back to us at ourtimeinhistory@gmail.com.

4) Pay your deposit if you have not already done so. An invoice with payment information will be emailed to you within three business days following the submission of this form.

Participant Details

Please fill out one form per traveler.

First Name *

Middle Name *

Last Name *

Date of Birth *

YYYY

Gender *

Male

Female

Street Address *

City *

State *

Zip *

Mobile Phone (to receive texts) *

Email to receive trip communication *

Medical Insurance Company *

Insurance Policyholder's Name *

Insurance Policy Number *

Primary Physician -- Name *

Primary Physician -- Phone *

Please list any health issues or concerns of which we should be aware (medications, allergies, etc).

Primary Emergency Contact -- Name *

Primary Emergency Contact -- Phone *

Primary contact's relationship to participant *

Secondary Emergency Contact -- Name *

Secondary Emergency Contact -- Phone *

Secondary contact's relationship to participant *

Choose your payment plan *

Pay in full at time of initial deposit

Initial deposit (due immediately) with remaining balance paid in one payment by April 1

Initial deposit (due immediately) with remaining balance divided into two equal payments on April 1 and July 1

Initial deposit (due immediately) with remaining balance divided into five monthly payments on the 24th of March, April, May, June, and July

Please list any additional information or special requests (may incur additional fees).

Agreement

I understand that tour costs are based on a minimum number of thirty-five (35) participants and should that minimum number not be met, this tour may be cancelled, postponed, rescheduled, or adjusted for costs. I also understand that if natural, civil, or political situations affect this tour, Our Time in History and its directors, officers, volunteers, representatives, and agents will not be held liable for modifications or adjustments to trip costs, dates, or sites visited.

I understand that my deposit is nonrefundable and that tour payments are generally nonrefundable; however, if I need to cancel no less than 31 days prior to the start of my tour, I may be able to get a partial refund if the money has not already been used on nonrefundable purchases such as air, hotel, activities, and administrative costs.

Check "yes" if you agree with the above agreement. *

Yes

Required

Participant's signature (type your name to indicate you are signing this form digitally). *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms