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INTERNATIONAL
REGISTRATION FORM
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1801 – 3300 Bloor St. West
West Tower
Toronto, Ontario, M8X 2X2
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Phone: 416 486 6440 or 1 800 267 6425
Fax: 416 486 7118 or 1 800 237 8604
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RESERVE AND MAKE PAYMENTS FOR YOUR TOUR ONLINE AT WWW.SCHOOLVOYAGEURS.COM
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PASSENGER AND TRIP INFORMATION - Name should be provided exactly as it appears on the passport of the traveller.
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First Name:
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Last Name:
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Phone:
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Address:
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City:
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Province:
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Postal Code:
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Date of Birth (mm/dd/yyyy):
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Citizenship:
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Passport #:
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Gender: M
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F
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School/Organization:
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Destination:
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Date of Tour:
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Physical or Dietary Restrictions:
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Please note that School Voyageurs will forward all physical and dietary restrictions. While most suppliers are very accommodating, School Voyageurs can not guarantee that all requirements will be met. Should a passenger have a serious dietary restriction, School Voyageurs strongly advises each passenger to bring “safe foods” with them on tour. It is the responsibility of the chaperone to ensure that the passenger receives the appropriate meal.
CONTACT INFORMATION
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Please complete the following Guardian Information if passenger is under 18 years of age:
Name of Parent or Legal Guardian:
Relationship: Phone:
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Please complete the following Emergency Contact Information if different from the Guardian information and/ or passenger is over 18 years of age:
Emergency Contact Name:
Relationship: Phone:
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Please provide Email Addresses in order to receive account summaries and receipts. A valid email is required for online access to this information.
Guardian Email Address: Passenger Email Address:
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CANCELLATION INSURANCE
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Travel Guard Platinum Package -
Platinum Package covers cancellation for medical reasons of the individual or immediate family member prior to the tour as well as trip interruption due to medical conditions while on tour, medical expenses while on tour and loss or damage of luggage. Also provides coverage for cancellation due to the Board of Education decision that travel is not advisable to a specific destination. It also covers job action should certain Boards of Education become involved in labour disputes.
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WITH A TOUR COST OF:
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Up to $1500
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$1501 - $2000
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$2001- $2500
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$2501 - $3000
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$3001 - $3500
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$3501 - $4000
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$4001 - $4500
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$4501 - $5000
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FOR TOURS UP TO 7 DAYS IN LENGTH
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$70
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$90
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$110
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$130
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$155
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$175
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$200
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$220
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FOR TOURS 8 – 12 DAYS IN LENGTH
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$80
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$100
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$120
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$140
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$165
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$185
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$210
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$220
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FOR TOURS 13 – 17 DAYS IN LENGTH
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$100
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$120
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$140
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$160
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$185
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$205
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$220
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$240
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Cancellation Insurance must be purchased at the time of deposit. Additional charges or administration fees are not covered by the insurance.
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I ACCEPT CANCELLATION INSURANCE: In addition to the tour deposit, I will pay $___________ to purchase Insurance.
I DECLINE CANCELLATION INSURANCE: I have read the above and decline coverage. 5 (Please check if declining coverage)
Signed:____________________________________________________________________________ Date: __________________________
For more information regarding the Insurance and its restrictions, full exclusions and limitations please go to www.schoolvoyageurs.com or contact Travel Guard at
1 866 878 0191 using policy #800209.
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PAYMENT INFORMATION - IF PAYING DEPOSIT AND INSURANCE OR ENTIRE BALANCE BY CREDIT CARD PLEASE COMPLETE THE FOLLOWING:
5 VISA 5 MASTERCARD CARD #:/__/__/__/__/ - /__/__/__/__/ - /__/__/__/__/ - /__/__/__/__/ EXPIRY: ____/____(MM/YY) PHONE:
AMOUNT AUTHORIZED TO CHARGE IMMEDIATELY (include insurance payment): $________ CHARGE BALANCE ON DUE DATE? 5 YES 5 NO
CARDHOLDERS NAME: CARDHOLDERS SIGNATURE:
ONLINE CONFIRMATION #: (If you reserved online write your confirmation # here)
If paying by cheque please see reverse side for payment options. Deposits or final payments by credit card can be made online at www.schoolvoyageurs.com.
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