Client Registration
Information entered into this form will be used to set up your secure portal, sponsored by my Host Agency KHM Travel Group. All information submitted must match legal Identification. (ex. Passport or RealID License) If your family requires more than 5 people, just submit a second form for the additional people. I look forward to working with you. - Michelle with Texan Adventures, LLC
Name - Client 1
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Home Airport
Airport you will be flying from
Any special request?
Allergies, Mobility issues, etc... should be listed here.
Full Name - Client 2
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Email
example@example.com
Phone Number
Please enter a valid phone number.
Full Name - Client 3
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Email
example@example.com
Phone Number
Please enter a valid phone number.
Full Name - Client 4
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Email
example@example.com
Phone Number
Please enter a valid phone number.
Full Name - Client 5
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Email
example@example.com
Phone Number
Please enter a valid phone number.
Submit
Should be Empty: