Traveler Registration

Please complete this registration and sign. A copy of your passport ID page is required if your package includes airfare.

Travel insurance is required after you deposit on your trip or shortly thereafter. Ask us for a quote. You are responsible to purchase travel insurance. A cancel for any reason policy is strongly recommended.

Submit a non-refundable deposit per traveler to confirm your booking or hold your spot for a group tour.

U.S. citizens do not require a Tourist Visa to enter Tahiti. However, a U.S. passport is required. Your U.S. passport must be valid for a minimum of 6 months from the date you plan to depart the country you are visiting.

Legal Name as listed on Passport *

First, Middle Name(s) Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Cell Phone

Please enter a valid phone number.

Work Phone

Please enter a valid phone number.

Name of Tour *

Email *

example@example.com

Gender *

Male Female

Birth Date *

Month Day Year

Profession *

How did you hear about us? *

Upload Photo of Passport ID Page if applicable OR Email:info@tahitianadventure.com

Emergency Information

Emergency Contact's (someone NOT traveling with you) *

First Name Last Name

Relationship *

Cell Phone *

Alt. Phone Number *

Roommate Request if Applicable

Do you (or your child) have any allergies, chronic illness, or medical conditions? *

What are you hoping to gain from this experience? *

NOTES - Anything else you want us to know, names of people traveling with you....

Please acknowledge each statement: *

I understand that international flights are NOT included in my trip cost. Unless stated otherwise in my package. I have a valid passport, with 6 months validity (double check). I understand I need to pay a non refundable deposit and complete registration forms to secure my spot. Travel insurance is required, I am responsible to purchase trip insurance. I have read and understood all terms and conditions on all travel forms.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature *

Clear

Date *

Date

Trip Deposit *

Deposit Non-refundable deposit with completed registration for each traveler is required to save your spot. If you are paying for more than one traveler, please add all the travelers names in the notes section.

$ 550.00 Quantity

Total

$ 0.00

Payment Methods

Question is not defined, should be defiend at createInputHTML() function