Traveler Registration Form
Initial Registration and Passport/Information Updates
Name
*
Ms.
Miss
Mrs.
Mr.
Prefix
First Name
Middle Name
Last Name
Suffix
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
Employer
Complete if making installment payments
Years at Current Employer
Less than 1 Year
1 - 5 Years
6- 10 Years
10 - 20 Years
20+ Years
Education
*
HSD or GED
Some College
2 Year Degree
4 Year Degree (BA, BS, etc.)
Master's Degree
Doctoral or 1st Professional Degree (MD, JD, PhD, etc)
Post Graduate Certificate or Study
Other
Gender
*
Male
Female
N/A
Date of Birth (Month/Day/Year)
*
-
Month
-
Day
Year
Date
Race/Ethnicity (optional)
African American/Black
Caribbean American/Black
Caucasian American/White
Asian American
Native Hawaiian/Pacific Islander
American Indian/Alaskan Native
Other
Latino/Latina or Hispanic Ethnicity? (optional)
Yes
No
KTN, Global Entry, or other TSA Number
Passport Number
Country of Citizenship/Passport Issuance
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
Passport Issuance Date (DAY FIRST, then month/year)
-
Day
-
Month
Year
Date
Passport Expiration Date (DAY FIRST, then month/year) Note: Passport must be valid for 6 months POST-TRAVEL date.
-
Day
-
Month
Year
Date
Please Indicate Medical/Allergy Information (if any) here. Type "N/A" if none:
Emergency Contact (Name, Email, Phone)
Travel Preferences
Smoker
Aisle
Window
Wheelchair Assist Requested
Vegetarian Meal Request
Vegan Meal Request
Other
COVID VAX/BOOSTER Status
*
Declined/No COVID Vax
Single Dose
Second Dose
1st Booster
2nd Booster
Johnson & Johnson
Moderna
Pfizer
Other
Date of most recent Vax or Booster (if applicable)
-
Month
-
Day
Year
Date
Please Indicate Agreement to ALL Statements Below by checking box:
*
LIABILITY WAIVER: I agree to acceptance of all risk of injury/loss/harm, due to any cause or for any reason while traveling with World In A Weekend MeetUp and/or AdvenTours By Ava LLC. I further release AdvenTours By Ava LLC, its owners, subsidiaries, employees, agents & assigns and World In a Weekend MeetUp, its organizers, agents or assigns, from any and all legal liability whatsoever for any injury, harm or failure to perform on the part of any third party provider, or due to weather, pandemic, riot, acts of God or any other reason, foreseeable or unforeseeable.
DISABILITY/ACTIVITY WAIVER: I understand that some tours may not be disability accessible and warrant that my physical condition will allow me to participate fully in any/all tour components and/or understand that no refund or rebate will be available for any included tour component in which I cannot participate, or choose not to participate.
CONTACT INFORMATION: I understand that for purposes of communication while in travel status, AdvenTours By Ava LLC or World In A Weekend MeetUp may create a group text and/or email and my contact information may be shared with other travelers in that specific itinerary for this purpose. I AGREE NOT TO USE OTHER TRAVELER CONTACT INFORMATION for any other purpose, including business or personal solicitation, or for any purpose other than exchange of trip-specific communication. I further agree to civil communication within any travel group forum and acknowledge I may be immediately removed, without refund or recourse, from the group contact forum and/or travel group for bullying, proselytizing, sales, offensive and/or consistently negative and/or off-topic posts.
CODE OF CONDUCT: AdvenTours By Ava LLC and World In A Weekend MeetUp take pride in representing the best of US values and will not tolerate bullying, rude, crass, vulgar, demeaning, insulting, cheating, stealing, oppositional, harassing and/or otherwise egregious or persistent unacceptable behavior during any tour or activity organized by either entity. I understand that "unacceptable behavior" and "egregious or persistent" violations will be defined within the Group Leader(s)' sole discretion, and I may be asked to leave a trip or function immediately, at my own expense, without refund or recourse.
PHOTO RELEASE: I understand that AdvenTours By Ava LLC and/or World In a Weekend MeetUp may take photos and/or video footage during any activity or tour and for participant convenience, may offer/maintain a site for upload of participant photographs. I understand that these photos or videos may be used for purposes of promoting either entity in print, social media, and or other advertising. While Group Organizers will use best efforts to honor my wishes, I understand that it will be ultimately my responsibility to abstain from group photographs, decline individual photographs, and refrain from posting my likeness to any such group site, if I do not wish to allow AdvenTours By Ava LLC or World In a Weekend MeetUp to use my likeness without compensation or attribution. My appearance in a group photograph and/or my posting of photographs to a common group repository will constitute permission to use my likeness in that photograph for any legal purpose.
INSURANCE ACKNOWLEDGEMENT/WAIVER: I acknowledge that I have been informed of the importance of travel insurance and advised to seek coverage with the supplier of my choice at http://www.insuremytrip.com or http://www.squaremouth.com within three (3-7) days of initial deposit, especially if I wish to cover pre-existing conditions and/or select "cancel for any reason" coverage. I hereby release AdvenTours By Ava LLC, its agents, employees, affiliates and/or assigns of any responsibility or liability whatsoever for my failure or inability to seek and obtain appropriate travel insurance coverage for any AdvenTour with Ava or World In A Weekend MeetUp.
REFUND/CANCELLATION: I acknowledge that all deposits made on any AdvenTours By Ava LLC or World In A Weekend MeetUp serviced by AdvenTours By Ava LLC, its agents, employees or assigns are strictly and wholly NON-REFUNDABLE AND NON-TRANSFERABLE. Additional and balance payments made on an AdvenTour By Ava itinerary are similarly NON-REFUNDABLE AND NON-TRANSFERABLE, unless otherwise noted in the specific AdvenTour description on the AdvenTours By Ava public website: http://www.adventoursbyava.com.
Type Name Below to Sign
*
Date
*
-
Month
-
Day
Year
Date
Signature Indicating Acceptance of Travel Terms Above
*
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