Registration Form 2021

Tour name and date

Personal information

Complete Name ^*

Street Address

City

State

Zip Code

Country

Date of Birth

Gender

MaleFemale

Occupation

Phone # (Home)

Cell phone # (On trip)

E-Mail Address ^*(All communications are sent via e-mail!)

Roommate on trip (Name)

Please find me one if possible

Passport info

Number

Country

Date of Issue

Date of Expiration

Emergency contact (not on trip)

Name

Phone #

Relationship to participant

Additional

Note special needs or history (e.g., medical, physical or dietary) of which we should be aware.

Our group dinners feature either buffet, entrée choice or fixed menu. So that our food providers can better plan our menus, we ask that you number your food choices below in order of preference. Even though we try our utmost to be accommodating, this does not mean a guarantee of your choice!
Fish
Meat (may be pork)
Chicken
Vegetarian

Bicycling experience

How often do you cycle? What is your typical ride length, your pace, and on what terrain?

Tell us about your touring experience within the past 3 years

Are you familiar with basic bicycle maintenance, like changing a flat tire?

How will you train to successfully complete this tour?

How did you find out about this tour?

What is your T-shirt size?

I have read, understand and accept these Terms and conditions
I have read, understand and accept the Waiver and release of liability and assumption of all risk

Czech Active Tours > Tours > Reservations > Registration Form 2021

Reservations

Publishing system Webdesign

Print Sitemap