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Please glue a recent photo of
yourself here. A married couple
only needs to send one photo
with both people in the photo.
If returning form on-line, please
include an attachment of photo.
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| Please fill out this form and return to TourMagination. |
| Tour Name:_____________________________________ |
| Tour Date: _____________________________________ |
| Personal: |
| Passport Name _______________________________________ |
| Last Name __________________________________________ |
| First Name __________________________________________ |
| Middle Name or Initial __________________________________ |
| Address: ______________________________________ |
| City: ________________ State/Province: _____________ |
| Zip/Postal Code:_______________ |
| Phone Number: __________________________________ |
| Date of Birth (mm/dd/yy): _________________________ |
| Place of birth: ___________________________________ |
| Citizenship: ____________________________________ |
|
| by birth: ________________________ by naturalization: ___________________________ |
| If naturalized: place ____________________ year _____ no. of certificate _____________________ |
| Marital Status: single________ widowed________ married________ divorced/separated________ |
| If married, date of marriage: __________________________________________________________ |
| Name of husband/wife: ______________________________________________________________ |
| IN CASE OF ACCIDENT, NOTIFY: |
| Name: ______________________________________ Relationship: __________________________ |
| Address: ____________________________________ Phone No.: ___________________________ |
| If already in possession of a passport: |
| Place of issuance: ___________________________ Date issued: _____________________ |
| Expiry date: _____________________ Passport No.: ______________________________ |
| If you do not yet have your passport, please complete and return this form now. Please forward a photocopy of your identity page from your passport for our files as soon as possible. Thank-you! |
| Medical Information: Is there any medical information that our tour leaders need to know about, such as heart problems, diabetes, serious allergies to drugs, medicines or foods? If yes, please list below. This information will be kept confidential: |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| ___________________________________________________ Do you get car sick (Y/N): _________ |
| Before leaving on your tour, you will receive a brief sketch on each of your fellow tour members to help you get acquainted with each other. To help us prepare these sketches, please answer the following questions about yourself: |
| Church Affiliation: ______________________ Church you now attend: __________________ |
| Assignments in church: ______________________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| Current occupation: _________________________________________________________ |
| If retired, former occupation(s): _______________________________________________ |
| What community work are you currently involved in or recently involved in? |
| ________________________________________________________________________ |
| If you are a college graduate, what was your major? _________________________________ |
| If you have a family, how many sons, daughters, grandsons and granddaughters do you have (and their ages)? |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| What are your hobbies and interests?____________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| What kind of music do you like?________________________________________________ |
| Do you play any musical instruments?____________________________________________ |
| What type of books do you read? _______________________________________________ |
| What was the most recent book you read? ________________________________________ |
| ________________________________________________________________________ |
| Have you travelled to other countries? If yes, which ones? ____________________________ |
| ________________________________________________________________________ |
| What languages, other than English, do you speak? __________________________________ |
| ________________________________________________________________________ |
| If going on a tour to Europe, what are your family names that emigrated from Europe? |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| What town, area or country did they come from? ____________________________________ |
| ________________________________________________________________________ |
| Here is your chance to tell us a little bit more about yourself, your family or whatever you would like to see included in the information being shared with your travelling companions: |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
| ________________________________________________________________________ |
