Use this form to register for this tour. Please register your legal name as it appears on your passport or photo ID . 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
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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
Place of Birth
*
City and Country
Rooming With...
*
Input full names if possible
Specialty Meal Preferences
*
Vegetarian
Vegan
Gluten Free
Religious Affiliation
Emergency Contact Info
*
First Name
Last Name
Emergency Contact Phone
*
Phone number
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
Place of Birth
City and Country /
Rooming With...
Input full names if possible
Specialty Meal Preferences
Vegetarian
Vegan
Gluten Free
Religious Affiliation
Emergency Contact Info
First Name
Last Name
Emergency Contact Phone
Phone number
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.
Relationship with First Traveller
Traveler Choices
Please check all boxes that apply:
Confirm your travel preferences here
*
I am in good health. I understand that the Tour will require walking, with lots of standing while sightseeing. (Those suffering any chronic diseases should consult a physician to gain clearance).
I have read the terms and conditions of the tour. Please enroll me now.
Students rate is $999: If 50% paid by June 15th, the Academy will give you a credit of $50. If fully paid by August 15th, the Academy will give you an extra credit of $50. Including 4 people per room and tickets. Friends and Family rate is $1500. Including a Double room occupancy and tickets.
Friends and Family rate is $1500. Including a Double room occupancy and tickets.
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All payments should be marked "Heritage Trip" and made to Wisconsin Academy direct at the Business Office cash, check, money order, or credit card or online with Adventistschoolpay.org Note: a 4% charge for credit cards will be applied.
Hotel Bedding: The Students will room in Quad Occupancy, Family and friends in Double/Triple
Please, select.
Two Twin Beds
One Queen
Student option: Quadruple
Upload a copy of your current ID or Passport here. (If you are renewing your passport, you can send it to us later).
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Please Confirm:
*
I acknowledge that I have read this registration form completely, and the information I provided is accurate. 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 will change. I understand that all monies must be paid by the final payment 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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