TRAVELER REGISTRATION FORM 2018 International Performance Tour
PLEASE TYPE ALL INFO!
1. Name (as it appears on your driver’s license or passport)
2. Passport # Expiration date Country
Where was your passport issued? (State and Country) Gender: Male Female
**Please provide 1 photocopy of the “picture” page of your passport
3. Date of Birth (M/D/Year) Place of Birth (City/State/Country)
4. Contact Information
Your Email:
BEST Phone #(s) in which to reach you if necessary:
5. I am interested in purchasing Travel Cancellation and Medical Insurance Package
6. I would like a single room and will pay the single room supplement: Yes No
7. I am sharing a room with
8. Singer Non-singer Voice part: S A T B
Please return your completed Registration Form to your Organization’s Tour Coordinator via email or by priniting and mailing along with your deposit.
If you have questions, please contact your Organization’s Tour Coordinator
GENERAL MEDICAL & DIETARY INFORMATION
Are you allergic to any medications? Yes No
If yes, please specify what:
Are you allergic to any food? Yes No
If yes, please specify what:
Are you allergic to anything else (e,g, bee stings)? Yes No
If yes, please specify what:
Do you have any physical, medical, dietary or religious requirements? Yes No
If yes, please specify what:
Travelers will have to make their own arrangements with the airlines for special meals on International flights.
Digital Signature: Date:
Sechrist Travel LLC takes no responsibility for any food/allergy problems or any problems outside the control of Sechrist Travel LLC
IN CASE OF AN EMERGENCY, PLEASE CONTACT:
Name: Relationship:
Phone #: (day) (evening)
E-mail:
Digital Signature: Date:
Your Name (print):
This information is for Sechrist Travel LLC purposes ONLY.
Notice and Agreement:
Sechrist Travel LLC (the “Sponsor”) act as Regent and arranger for suppliers in selling travel and/or arranging various services that are not directly supplied by the Sponsor. The undersigned traveler agrees that the Sponsor shall not be liable or otherwise responsible for: 1) breach of contract, negligence, errors or omissions on the part of suppliers or their subcontractors, 2) injuries, damages, losses or conditions that result from criminal acts, terrorism, strikes, travel delays, lost luggage, mechanical or construction failures, weather, misinformation, local laws or health conditions and/or any other situations outside of the Sponsor’s exclusive control. It is the traveler’s responsibility to assume the risks of travel and for passport, visa, vaccination and entry requirements. Optional travel insurance is recommended and is available through Sechrist Travel LLC.
Contract of Release and Assumption of Risk
As consideration for the right to participate in this tour, I, the undersigned traveler, agree to hold the Sponsor harmless and to release it from liability, as well as its agents, employees, officers and directors for any and all actions, debts, suits, claims, losses and demands (Claims) of any kind in connection with my participation in this tour, either now or in the future. This includes claims against the Sponsor made by suppliers or subcontractors and related to any claims brought by me against such suppliers and subcontractors. All terms and conditions shall be governed by the laws of, and adjudicated in, the State of New York. This agreement serves as a release and assumption of risk for myself, my family and my heirs and successors. I have read and understand this notice and contract.
Your Name (print):
Digital Signature: Date:
(Parent or legal guardian, MUST SIGN, if traveler is under 18 years old)
*PLEASE ATTACH A COLOR COPY OF THE PICTURE PAGE OF YOUR PASSPORT TO THIS PAGE AND RETURN TO YOUR ORGANIZATION’S TOUR COORDINATOR
Sechrist Travel
Sean Berg, Executive Director
Tom Price, Director of Operations
415 125th Street SE Everett, WA 98208 (425) 357-0245