THE SUNSHINE TRAVEL CLUB - TOUR REGISTRATION FORM
Name:: FIRST (for name tag) ______________________________ LAST:_____________________________________________
Address: _____________________________________________________________________________________
City/Town _________________________________________________________ Postal Code: _____________
EMAIL: _________________________________________ Cell (or best Tel#: ____________________________
Date of Birth: ____________________________________ (dd /mm/ yy)
Canadian Citizen: Yes No If not, which country? ________________________________
Passport Number: _______________________________________________________ (If traveling to USA or other)
Legal Name on Passport: _____________________________________________________
Born in Canada: Yes No If not, which country? _______________________________
Emergency Contact Name: _____________________________________ Cell (or Best Tel#: ____________________________
Relationship: _____________________________________________________
THE SUNSHINE TRAVEL CLUB STRONGLY RECOMMENDS THE PURCHASE OF TRAVEL INSURANCE SUCH AS TRIP CANCELLATION WITH
WITH TRIP INTERRUPTION PROTECTION AND MEDICAL INSURANCE WHILE OUT OF THE PROVINCE AND COUNTRY. TOURS ARE
NON-REFUNDABLE ONCE PAID IN FULL AND CANCELLATION INSURANCE IS NOT INCLUDED IN THE COST OF OUR TOURS. IT IS THE
RESPOSIBLITY OF THE INDIVIDUAL TO ENSURE PROPER INSURANCE IS COVERAGE IS PURCHASED. INITIAL ___________
Tour Name: ______________________________________________________ Date: ___________________
I would like to be picked-up en route at __________________________________________as per The Sunshine
Travel Club pick-up/ drop-off points listed in brochure.
Sharing room with: _____________________________________________________________________________________
Special needs (medical/mobility or dietary)____________________________________________________________
Travel companions on this tour:________________________________________________________________________
$200.00 Registration Fee (cheque/money order) required within 7 days of booking, unless otherwise stated.
I HAVE READ AND UNDERSTOOD THE INFORMATION STATED ABOVE. I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD
THE WAIVER INCLUDED IN THE CURRENT SUNSHINE TRAVEL CLUB BROCHURE. I AM EXECUTING THE SAME VOLUNTARILY FREE
OF ANY UNDUE INFLUENCE OR DURESS.
SIGNATURE: _______________________________________ DATE: _________________________
Rev: 12/06/18
