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1.800.725.4260

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TOUR REGISTRATION FORM

Please read the Terms & Conditions of Registration before completing this form.

Fields marked with * must be completed

or the form will not send.

Tour of Interest*

First name*

Last name*

Date of birth*

Year

Month

Day

How would rate your mobility?*

Excellent

Fair

I use a cane/walker

I use a wheelchair and require assistance

Preferred name for tour material

Email*

Mobile phone number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Emergency Contact*

Relationship to you

Emergency Contact Phone

Emergency Contact Email

Registering as a single or for two?*

Single

For 2

2nd Traveller Name

2nd Traveller preferred name for tour material

2nd Traveller Birthday

Year

Month

Day

2nd Traveller mobility

Excellent

Fair

I use a cane/walker

I use a wheelchair and require assistance

2nd Traveller Email

2nd Traveller Phone

2nd Traveller emergency contact

Relationship to 2nd traveller

2nd Traveller emergency contact Phone

2nd Traveller emergency contact Email

2nd Traveller allergies

2nd Traveller dietary concerns / food dislikes

How many beds do you require?*

One

Two

Do you require an ADA/mobility room?*

Yes

Do you prefer a bathtub or shower?*

Bathtub

Shower

Please list any allergies*

Please list any dietary concerns / food dislikes

Do you require an insurance brochure?*

Yes

Do you require Aria Tours baggage tags? (answer yes if you have not travelled with us before or if you have but you require more tags)*

Yes

Notes

How did you discover us?

Opera Magazine

Internet search

word of mouth

I have read and agree to the Terms & Conditions of registration

Contact

Aria Tours
P.O. Box 159
Almonte, ON
Canada K0A 1A0

Email: info@ariatours.com

1.800.725.4260

Mailing List

Mailing List Registration

We do not share your information with anyone. Please read our Privacy Policy for more details.

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