Holland in Bloom Sign Up Form

The Traveling Tea- Holland in Bloom Sign Up Form
Full Legal Name as appears on ID
Date of Birth
Email Address
example@example.com
Phone Number
Emergency Contact Name
Emergency Contact Phone
Room Selection

Double Occupancy (2 people per room)Single Occupancy (1 person per room - additional cost applies)
If Double Occupancy, Roommate Name (if known):
Note: If no roommate is listed, one will be assigned based on availability.
Dietary Restrictions / Food Allergies
Medical or Mobility Accommodations
Requests are not guaranteed but will be communicated to the hotel.
Payment Selection

Initial Deposit Only: $400 per person (Due Upon Booking)Pay in Full:
Payment Method

CheckCredit CardCash
Name on Card
Card Number
Expiration Date
CVV
Billing Zip Code
Terms & Acknowledgments:

I understand the $400 per person deposit is due upon booking to hold my spot.I understand the hotel requires a $500 per room deposit by March 1, 2026.I understand trip sign-up closes on March 27, 2026.I understand final payment is due April 3, 2026.I understand room assignments are based on availability at the time of booking.I acknowledge that The Traveling Tea will submit a company check to the hotel on behalf of the group.
Signature

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The Traveling Tea- Holland in Bloom Sign Up Form