Traveler Booking Form

Please complete this Traveler Booking Form to confirm your travels with Explorer X. By completing this Booking Form, you agree to Explorer X’s Terms & Conditions and our Waiver of Liability Agreement, which can be downloaded by clicking the button below. Explorer X is a DBA of Explorers 4, LLC.

Please note: We require every traveler (regardless of age) to submit a completed Traveler Booking Form. Let us know if you have any questions!

Terms & Conditions

TRAVELER INFORMATION

Name

First Name

Last Name

Destination(s)

Travel Dates

Other Travelers

Please let us know who else you are traveling with.

CONTACT INFORMATION

Email Address

Phone Number

Please be sure to include your country code.

Preferred Contact Method

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PASSPORT INFORMATION

Please enter information EXACTLY as it appears on your passport.

Surname

Family Name / Last Name

Given Names

First and Middle (if applicable)

Passport Number

Nationality

Date of Birth

YYYY

Place of Birth

Date of Issue

YYYY

Date of Expiration

YYYY

Gender

Authority

ADDITIONAL INFORMATION

Dietary Preferences & Information

Do you have special dietary requirements, allergies, and/or preferences that you would like us to know about for this trip? If YES, please explain below.

Health & Medical Information

Do you have any health, medical, and/or psychological conditions that may affect your ability (or the ability of others) to safely participate in this trip? If YES, please explain below.

Celebrations & Special Requests

Are there any special occasions or events you will be celebrating on this trip? (Ex: Birthday, wedding, anniversary, graduation, etc.) If YES, please explain / describe below.

Additional Information

If there is anything else that we need to know to help ensure your safety and comfort on this trip, please tell us in the space below.

TRAVELER AGREEMENT

Participants 18 Years of Age or Older

By completing this Traveler Booking Form and e-signing my name below, I acknowledge that I have read, understand, and agree to Explorer X’s Terms & Conditions and Waiver of Liability, Assumption of Risk, and Indemnity Agreement.

Name

First Name

Last Name

Today's Date

YYYY

Minors Under 18 Years of Age

A parent or legal guardian must sign this Agreement on the minor’s behalf. The parent or guardian must sign and submit his or her own Agreement separately if also participating in the tour. I am the parent / guardian of the minor and understand the legal consequences of signing this agreement. I understand that I am responsible for the obligations of the minor as described in the agreement. I agree to be bound by the terms of this agreement. I have read this agreement in its entirety, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me. My signature applies to all pages of this agreement

Name of Minor

First Name

Last Name

Name of Parent or Guardian

First Name

Last Name

Today's Date

YYYY

By completing and submitting this Traveler Booking Form, you agree to Explorer X’s Terms & Conditions and our Waiver of Liability Agreement, which can be downloaded by clicking the button at the top of this page.

Traveler Booking Form

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