Use this form to register for our Gurlz Trip June 12-17,2025 Antigua. Please register your legal name as it appears on your passport.
Name as it appears on your passport!
First Name
Last Name
Date of Birth
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address
Guest #1 Full Name
Date of Birth
Guest #2 Full Name
Date of Birth
Guest #3 Full Name
Date of Birth
Are all guest traveling U.S. citizens?
Please Select
Yes
No
Passport Information
Passport Number, Surname & Given Name
Place of Birth & Issuing Country
Date of Issue
Date of Expiration
Date of Birth
Travel Information
Occupancy
Please Select
Single
Double
Triple
Room Category
Please Select
Diamond Club Luxury Partial Ocean View 2 Queens
Diamond Club Luxury Beach Front 2 Queens
Diamond Club Luxury Beach Front King
Use this area to list health concerns or special request
Emergency contact names and number
Do you want travel insurance this amount would need to be paid at the time of your deposit of $100.00 (non-refundable)?
Please Select
Yes
No
I confirm that I have thoroughly reviewed this registration form and that the information I have provided is accurate. I understand that my deposit is non-refundable and that cancellation penalties will vary based on the date of cancellation. Additionally, I recognize that if my roommate(s) cancel, my rate will be adjusted accordingly. I acknowledge that all fees must be settled by the final payment date, and failure to do so will result in the immediate cancellation of my room. Cancellation Policy: Cancellations made 90 days prior to arrival incur no penalty. Cancellations made between 65 days and the day of arrival will incur a full penalty, resulting in a 100% non-refundable charge. Please be aware that there will also be a $100 Agency Service Fee per person for all cancellations, regardless of the reason.
Do you agree to the terms and conditions
Please Select
Yes
No
Credit Card Authorization Form
I hereby authorize Epic WorldWide Travel, LLC to charge my credit card for the specified amount on a one-time or monthly basis. This authorization will remain in effect until I request its cancellation or termination. I also confirm that I am the authorized user of the credit card submitted with this form. Furthermore, I agree not to dispute any charges made by the company.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Amount to Charge & Card Detailed Information
One Time Payment or Monthly Payment
One-Time
Monthly
Monthly process date
By submitting this form, you authorize Epic WorldWide Travel, LLC to complete processing for the amount indicated above.
Signature
*
Submit
Should be Empty: