RESERVE YOUR PLACE Bookings Form If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Personal Details Each person attending the tour must fill out and submit this form. Name * Date of Birth * Email * Address * City * State * Victoria New South Wales Australian Capital Territory Queensland Northern Territory Western Australia South Australia Tasmania Post Code * Phone * Mobile * Emergency Contact Details Name * Address * Phone (BH) * Phone (AH) * Mobile * Preferred Accommodation * (NB: A single supplement of $1,990 will apply for single accommodation) DoubleTwinSingle Fit to Travel section This section is to be answered by all tour participants regardless of age. It is a condition of In giro Tours that any traveller booked to travel with us has a certain level of fitness. Please consider any fitness issues you may have before making a tour booking and placing a deposit. It is important that you understand that the tour will require some walking and climbing and will involve getting in and out of a minivan; using some public transport (for example: funicular railway) and includes a small boat trip. It is the expectation that upon booking with In giro Tours any issues with your fitness will not impede the enjoyment of the tour for any of the remaining participants and In giro Tours will not be held liable for any activities or sightseeing missed due to the inability of any participant to keep up with the tour group. Can you ascend stairs without assistance? * YesNo Are you able to walk distances without assistance? * YesNo Do you suffer from any disabilities/physical constraints? * YesNo Please specify: Do you have any pre-existing illnesses/medical conditions? * YesNo If so, please advise us of any medical conditions you feel may impede you fully participating in the proposed tour (In giro Tours will not be held responsible for any non-disclosure of pre-existing illnesses/medical conditions with regards to travelling without adequate travel insurance) Do you have any special dietary requirements? * Yes No If yes, please specify: Passport identity page, insurance policy Please make sure your passport is valid. Comprehensive travel insurance is mandatory for participation in this tour. In giro Tours must be provided with a copy of your insurance policy. Attach a copy of your passport identity page and a copy of your insurance policy to this Booking Form OR email them to ingrid.gaiotto@bigpond.com no later than 8 April 2016 (for June 2016 tour) and 15 July 2016 (for September 2016 tour). What is thirteen minus 6? * Comprehensive travel insurance is mandatory for participation in this tour. In giro Tours must be provided with a copy of your insurance policy. This agreement includes the Booking Conditions, the Terms and Conditions, and the completed Booking Form with the Fit to Travel section. If you have not read and completed all of these documents, please arrange to complete them before checking this acknowledgement box. This agreement becomes binding when we confirm your booking in writing and you have paid the deposit. Please read all the terms and conditions here. I agree to abide by the terms of the tour. * Bookings Form If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Personal Details Each person attending the tour must fill out and submit this form. Name * Date of Birth * Email * Address * City * State * Victoria New South Wales Australian Capital Territory Queensland Northern Territory Western Australia South Australia Tasmania Post Code * Phone * Mobile * Emergency Contact Details Name * Address * Phone (BH) * Phone (AH) * Mobile * Preferred Accommodation * (NB: A single supplement of $1,990 will apply for single accommodation) DoubleTwinSingle Fit to Travel section This section is to be answered by all tour participants regardless of age. It is a condition of In giro Tours that any traveller booked to travel with us has a certain level of fitness. Please consider any fitness issues you may have before making a tour booking and placing a deposit. It is important that you understand that the tour will require some walking and climbing and will involve getting in and out of a minivan; using some public transport (for example: funicular railway) and includes a small boat trip. It is the expectation that upon booking with In giro Tours any issues with your fitness will not impede the enjoyment of the tour for any of the remaining participants and In giro Tours will not be held liable for any activities or sightseeing missed due to the inability of any participant to keep up with the tour group. Can you ascend stairs without assistance? * YesNo Are you able to walk distances without assistance? * YesNo Do you suffer from any disabilities/physical constraints? * YesNo Please specify: Do you have any pre-existing illnesses/medical conditions? * YesNo If so, please advise us of any medical conditions you feel may impede you fully participating in the proposed tour (In giro Tours will not be held responsible for any non-disclosure of pre-existing illnesses/medical conditions with regards to travelling without adequate travel insurance) Do you have any special dietary requirements? * Yes No If yes, please specify: Passport identity page, insurance policy Please make sure your passport is valid. Comprehensive travel insurance is mandatory for participation in this tour. In giro Tours must be provided with a copy of your insurance policy. Attach a copy of your passport identity page and a copy of your insurance policy to this Booking Form OR email them to ingrid.gaiotto@bigpond.com no later than 8 April 2016 (for June 2016 tour) and 15 July 2016 (for September 2016 tour). What is thirteen minus 6? * Comprehensive travel insurance is mandatory for participation in this tour. In giro Tours must be provided with a copy of your insurance policy. This agreement includes the Booking Conditions, the Terms and Conditions, and the completed Booking Form with the Fit to Travel section. If you have not read and completed all of these documents, please arrange to complete them before checking this acknowledgement box. This agreement becomes binding when we confirm your booking in writing and you have paid the deposit. Please read all the terms and conditions here. I agree to abide by the terms of the tour. *
