Showcase Productions Theatre Tours

Registration Form – Please Print or Type

TOUR NAME
(if applicable, indicate a specific coach you wish to be on
NAME IN FULL
(underline the name you typically use)
ADDRESS IN FULL
TELEPHONE / ( ) / EMAIL
DATE OF BIRTH / PLACE OF BIRTH
CITIZENSHIP /  I am a Canadian Citizen /  I am not a Canadian Citizen /  I do not know
CLOSEST PICK UP LOCATION:
 Halifax /  Antigonish /  Truro /  Amherst /  Moncton  Fredericton
ACCOMMODATIONS REQUESTED (depending on availability):
 Single
(1 bed) /  Double
(1 bed) /  Twin
(2 beds) /  Triple
(2 double beds) /  Quadruple
(2 double beds)
I will be sharing accommodations with the following person(s):
I will be taking with me: /  One carry-on luggage (max. size 20” x 12” x 12”) / One suitcase to be stored in the under-carriage
(max. size 23 kgs/50lbs)
 I would like to request a smoking room (depending on availability). Please note only non-smoking rooms are available in New York City and at many of the other hotels we use.
Emergency Contact:
(name, relationship, phone)

Consent Information:
 I (we) understand that travel insurance is not included in this tour package.

 I (we) have read the Tour Conditions on the reverse of this form. These are also available on our

website at under our “theatre tours”.

 I (we) will inform the travel escort(s) of any medical situation of which they should be aware.
 I (we) understand that I am responsible for my own transportation home if I amrefused entry at the border (United States or Canadian Side). (Passports are now required by Canada/USCustom Agencies).

 I (we) have enclosed a non-refundable deposit of $100.00 per person payable to “SHOWCASE PRODUCTIONS SOCIETY” at ADDRESS: 149 East Victoria Street, AmherstNova Scotia, B4H 1Y2 or EMAIL this form to .

Please complete one form per person. Forms will be destroyed after each tour.

Signature(s)
Date

SHOWCASE PRODUCTIONS SOCIETY is a not-for-profit, community theatre organization dedicated to promoting the performing arts. Any profits from our tours are used to provide financial assistance to deserving students interested in furthering their studies in some aspect of the performing arts. SHOWCASE has no employees and depends upon experienced, community volunteers to co-ordinate, promote and/or act as tour escorts.
SHOWCASE PRODUCTIONS agrees not to share any of this information with anyone. Payments should be made by cheque or money order and made payable to SHOWCASE PRODUCTIONS SOCIETY. Cashpayment is not recommended and certainly should not be mailed.

Last Updated: January, 2013