Use this form to register for this tour. Please register your legal name as it appears on your passport. Learn about our referral program after you register. Have a visible copy of your passport and a photo of yourself available to upload to this form.
1. First Traveler Info
* Note (Mandatory field)
Full Name
*
First Name
Last Name
Gender
*
Please select
Male
Female
Please select
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
E-mail
*
ie: john@gmail.com
Address
*
Street Address
Street Addreess 2
City
State
ZIP Code
Country
*
Cell Phone
*
Please: add international country access code number
Format: (000) 000-0000.
Passport Number
*
Passport Country
*
Please, select.
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country of residence
Place of Birth
*
City and Country
Rooming With
*
Input full names if possible
Meal Choice
*
Vegetarian
Vegan
Regular Meals
Religious Affiliation
Is this your first trip to Europe?
Yes
No
If not, when was your last visit there?
Emergency Contact Info
*
First Name
Last Name
Emergency Contact Phone
*
Phone number
Format: (000) 000-0000.
Emergency Contact Email
*
ie: john@gmail.com
Allergies
State which
Health conditions or Medication
Please state all medical conditions or health issues. Also write down which meds you are taking.
2. Second Traveler Info
* Note: If there is a 2nd Traveller, please complete ALL fields.
Full Name
First Name
Last Name
Gender
Please select
Male
Female
Please select
Age
Date of Birth
-
Month
-
Day
Year
Date Picker Icon
E-mail
ie: john@gmail.com
Address
Street Address
Street Addreess 2
City
State
ZIP Code
Country
Cell Phone
Please: add international country access code number
Format: (000) 000-0000.
Passport Number
Passport Country
Please, select.
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country of residence
Place of Birth
City and Country
Rooming with
Input full names if possible
Meal Choice
Vegetarian
Vegan
Regular Meals
Religious Affiliation
Is this your first trip to Europe?
Yes
No
If not, when was your last visit there?
Emergency Contact Info
First Name
Last Name
Emergency Contact Phone
Phone number
Format: (000) 000-0000.
Emergency Contact Email
ie: john@gmail.com
Allergies
State which
Health conditions or Medication
Please state all medical conditions or health issues. Also write down which meds you are taking.
Tour Package Options
Make your travel choices below (required). All funds are denominated in US$. Conversion will be done at time of payment processing and will reflect any prevailing fx rate.
Meal choice here
Main Tour (Students and Teachers) - $3799/person (including airfare from PDX)
Main Tour (Friends, Family and Others) - $3999/person (including airfare from PDX)
Pre-extension Tour Scotland - March 14-16 - $1199/person
Post-extension Tour Paris - March 26-29 - $1199/person
Insurance (highly recommended) - $100/person
Single Room Supplement Main Tour // $850/person
Single Room Supplement Pre-extension Tour // $300/person
Single Room Supplement Post-extension Tour // $300/person
Mandatory Tips Main Tour * // $80
Mandatory Tips Pre-extension Tour * // $40
Mandatory Tips Post-extension Tour * // $40
*
For bus drivers, guides, bonus locations
Traveler Choices
Please check all the boxes that apply:
Confirm your travel preferences here
If not rooming with a family member, I wish to room with the person(s) listed above.
Please match me up with another single going on the trip for $50 administration fee (if no other single is available, Iunderstand I am subject to the single room surcharge). Ask about triple occupancy.
I wish to have a room all to myself (Single room surcharge of $850 Main tour)
I am in good health. I understand that the Tour will require walking, with lots of standing while sightseeing. I also realize I will have to carry my own bags - sometimes up stairs. (Those suffering any chronic diseases should consult a physician to gain clearance).
I understand that I will be responsible for the care of the audio transmitter and earphone issued me. In case of damage or loss of the transmitter I understand that I will pay for repair or $135 for a replacement.
I decline the offer to purchase insurance. I understand that I am solely responsible for any delays, cancellation penalties, sickness, accidents and out-of-pocket expenses incurred. This waiver confirms that I voluntarily decline travel insurance for this tour. I understand I am solely liable and I hereby release Pan de Vida Travel and their agents from any and all liability associated with my failure to purchase travel insurance. I made the choice to decline insurance coverage (NOTE: Some destinations may require proof of Travel Protection Insurance, so if you decline our insurance, we strongly recommend that you get your own. We are not responsible if you are denied entrance due to lack of insurance).
I accept to pay $100 travel insurance per person. That includes trip cancellation due to weather or mechanical malfunction, personal property and medical benefit. (Insurance available up to age 79. Ask for details if 80 and older).
I allow Pan de Vida to use my credit card to pay extra expenses that may depend on me.
I have read the terms and conditions of the tour. Please enroll me now.
Paying for This Trip
You should send the payment to the academy.
Hotel Bedding
Please select
One Queen
Two Separate Twin Beds
Single Room
Please select
Upload a copy of your current Passport here. (If you are renewing your passport, you can send it to us later).
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I acknowledge that I have read this registration form completely, and the information I provided is accurate. I will supply, when requested, my payment information to facilitate payment of the minimum $350/person deposit and any other amounts needed to secure this trip. I understand that my deposit is non-refundable and other cancellation penalties will apply depending on the cancel date. I understand that if my roommate (s) cancel, my rate could change. I understand that all monies must be paid by the final payment date. If my balance is left unpaid, my cabin will be canceled immediately. Prices for reinstated cabins may be higher than initial rate and a $50 reinstatement / administration fee will be charge by Pan de Vida Travel regardless of the cancellation date.
Do you agree to the terms and conditions
*
Please, select.
Yes
No
Your booking is not complete until you click the [Submit Registration] button. Questions? +1 248 275 1050
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