Healy Tours Group Tour Registration Form
New Year's Ireland Tour, 2024-2025
Welcome to Healy Tours! This form will help us to collect all of your key details in one place, and we promise - it won't take too long. Is there a special occasion for your trip or anything you would like us to know?
Name of Guest #1 (full name as on your passport)
First Name
Middle Name
Last Name
Email - Guest 1
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthdate of Guest 1 (This is required for insurance quotes, pricing for senior or child discounts, booking airfare, etc. This information is confidential and will be used for the purposes of booking your trip.)
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Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Name of Guest #2 (full name as on your passport)
*
First Name
Middle Name
Last Name
Email - Guest 2
example@example.com
Birthdate of Guest 2 (This is required for insurance quotes, pricing for senior or child discounts, etc.)
-
Month
-
Day
Year
Date
What names should we use to address you? (names for nametags, introductions, etc.) For instance, if you are William - do you prefer Bill, Billy, Buck or Buddy? You can enter both passenger names here, e.g. Nichole & Billy
Room type and bed arrangements
One person, one bed (typically a Queen or King sized bed)
Two people, one bed (typically a Queen or a King sized bed)
Two people, two beds (typically a twin or full sized bed)
One room three beds (typically this will be a king or double bed + a twin or smaller sized bed). We can request this arrangement, but not all hotels offer this as an option.
Do you have any food restrictions or allergies that we should be aware of?
Please let us know if you have any medical conditions or restrictions that we should be aware of (this is confidential and used only for your safety and well-being while traveling)
Are there any other personal needs or anything that we should be aware of?
Emergency contact name and phone number in the United States
I acknowledge that I have received and reviewed the Terms and Conditions related to this travel booking, and that if I am booking travel for other individuals, I am responsible for the other passengers agreement of the Terms and Conditions acknowledgement. If you have not reviewed, please return to the booking page and review the Terms and Conditions. Your signature serves as your electronic signature and agreement to our terms. https://healytours.com/terms-and-conditions
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2024_2024 New Year Tour Deposit
Please remit per person deposit of $700
$
700.00
Quantity
1
2
3
4
5
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7
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9
10
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: