Other Details
Arrival Date
*
MM
DD
YYYY
Departure Date
*
MM
DD
YYYY
Room Requests-REQUEST ONLY
Subject to availability and at the discretion of the Resort/Hotel upon check-in
Passenger 1 (Name as it appears on passport)
*
If your middle name(s) appear, please add them in the First Name field.
First Name
Last Name
Gender Identifier On Your Passport:
*
How Do You Prefer To Be Identified?
Birthdate
*
MM
DD
YYYY
Email Address
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Passenger 2 (Name as it appears on passport)
If your middle name(s) appear, please add them in the First Name field.
First Name
Last Name
Gender Identifier On Your Passport:
How Do You Prefer To Be Identified?
Email
Birthdate
MM
DD
YYYY
Passenger 3 (Name as it appears on passport)
If your middle name(s) appear, please add them in the Firts Name field.
First Name
Last Name
Gender Identifier On Your Passport:
How Do You Prefer To Be Identified?
Birthdate
MM
DD
YYYY
Passenger 4 (Name as it appears on passport)
If your middle name(s) appear, please add them in the First Name field.
First Name
Last Name
Gender Identifier On Your Passport:
How Do You Prefer To Be Identified?
Birthdate
MM
DD
YYYY
Passenger 5 (Name as it appears on passport)
If your middle name(s) appear, please add them in the First Name field.
First Name
Last Name
Gender Identifier On Your Passport:
M-Male
F-Female
X-Another Gender
How Do You Prefer To Be Identified?
Birthdate
MM
DD
YYYY
Please indicate whether there are guests with passports issued outside of Canada, the United States, or the United Kingdom
*
Additional Details:
Please select one:
*
By submitting this document, I waive any liability against my travel professional for any costs I incur as a result of my choice NOT to purchase travel insurance coverage or my selection of the principal sums and/or sums insured of the insurance(s) that I have purchased.
Please note that as of March 5th, 2020, CORONAVIRUS/COVID-19 is now considered a "known event" and will not be covered in any insurance policies. All travel credits are at the discretion of the supplier/wholesaler.
