2023 Japan Traveler Information Form
Taste of Japan: A Companion Trip to the St. Olaf Band Tour | May 30–June 12, 2023
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Email *
PASSPORT INFORMATION
Enter your name exactly as it appears on your passport. If you have no middle name listed on your passport, please enter a period. If you have more than one middle name, enter them both in the middle name field.
First *
Middle *
Last *
Passport number *
Nationality (country that issued the passport) *
Date of birth *
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U.S. State of birth
Do not abbreviate, do not include the city. If born outside the U.S., list the country.
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Passport date of issue
Note that your passport lists the day first, but this form wants you to enter the date as MONTH first.
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MM
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DD
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Passport date of expiration
Typically passports expire 10 years minus 1 day after issue. For example: issued on 31 Oct 2021, expires on 30 Oct 2031. Please double-check the dates you've entered.
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DD
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YYYY
Authority
On U.S. passports, Authority is listed to the right of Date of Issue. It's often United States Department of State, but not always.
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Preferred first name on name tag
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Will you be celebrating any special occasions during the trip?
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EMERGENCY CONTACT INFORMATION
Whom should we contact in case of emergency during the program (someone not traveling with you)? Please enter at least one phone number for your emergency contact.
Full name
 *
Relationship to you
 *
Best phone number
 *
Additional phone number
Email address
HEALTH INFORMATION
The information you provide on this form is meant to better equip the trip leader or host to effectively respond should a complication arise during the trip. This information will be held in strictest confidence by St. Olaf College staff.
Primary physician's name *
Phone number *
HEALTH CONDITIONS
I have the following health conditions about which I choose to inform St. Olaf College (examples include allergies, injuries, depression, anxiety, diabetes, emphysema, heart condition, seizures, recent surgery, or any other physical, mental or behavioral condition that would be important to know about in case of an emergency)
Health Conditions *
MEDICATIONS
I take the following medications about which I choose to inform St. Olaf College (we recommend you bring an extended supply of all medications, in their original bottles, with you)
Medications *
IMPAIRMENTS or RESTRICTIONS
I have the following impairments or restrictions about which I choose to inform St. Olaf College (examples include impaired mobility, hearing, or vision that -- when not using corrective devices such as glasses or hearing aids -- may prevent you from participating fully in all trip activities as described in the trip description or itinerary, or that require special arrangements, equipment or assistance for you to participate in the program)
Impairments *
ASSISTANCE ITEMS
Further, I use or transport the following assistance items on a regular basis (check all that apply)
Assistance Items *
Required
PARTICIPANT REQUIREMENTS
St. Olaf has published specific requirements for each Alumni & Family Travel tour. You are responsible for reviewing the specific requirements for your tour and judging the appropriateness of these travel activities to your physical, mental and behavioral capabilities. 

Movement on this tour will be by several modes: on foot, public bus, bullet train, and Tokyo subway. Movement within each city and at cultural/historic sites will be on foot, requiring a lot of walking and standing. You should be capable of walking up to five miles per day over possibly uneven terrain, of climbing stairs that may not have handrails, of climbing in and out of various types of transportation, of keeping pace with an active group of travelers on long days of traveling, of dealing with the emotional highs and lows that can occur when experiencing different cultures, and of traveling with a group for several hours each day.

The weather is likely to be hot and humid. As mentioned, there will be a lot of walking and we will be in crowds in Tokyo especially.

We recommend you be fully vaccinated against COVID-19, including any recommended boosters for your age or health group, before departure.

Any participant who is unable to fulfill the participant requirements may have their registration cancelled. Any participant who has demonstrated an inability, in the opinion of the tour leader or host, of keeping up with the group or of safely participating in tour activities may be prohibited from participating in certain activities. 
I acknowledge that I can meet these participant requirements and keep up with the group. (If you mark no, the Travel director will be in touch to discuss your situation.) *
DIETARY NEEDS
We can accommodate most dietary needs, as listed in the checkboxes below. Special dietary preferences such as low salt or "I only drink Diet Coke" cannot be guaranteed, but will certainly be accommodated to the best of our ability. The more specific you are, the more I can work to make them happen. 
Dietary Needs *
Required
HEALTH INSURANCE
While the program fee includes a great deal of illness and injury coverage, we require information about additional insurance coverage.
I understand that my health insurance provider may not cover me outside the United States. I stipulate that I have sufficient health, accident, disability and hospitalization insurance to cover myself during my participation in the program.
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I have read and understand the health information and participant requirements and confirm that I am capable of fulfilling the participant requirements, and that I will be  responsible for my own insurance and my own health and safety. I understand that if St. Olaf College needs further information about my health condition(s) in order to assure that I may safely participate in the Alumni & Family Travel tour or to fulfill the program requirements, I may be asked to provide a physician’s certification.
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Type your full name as your electronic signature *
A copy of your responses will be emailed to the address you provided.
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