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Conley & silvers

Traveler Information Form

Passport Information:
Please complete one form for each traveler. List information EXACTLY as it appears on your passport.
Name (exactly as it appears on your passport) *
Name (exactly as it appears on your passport)
Please put first and middle names in the first name box.
Date of Birth *
Date of Birth
Passport Date of Issue *
Passport Date of Issue
Passport Date of Expiration *
Passport Date of Expiration
Contact Information
Phone
Phone
Address *
Address
Conley & Silvers likes to gift customized luggage tags to its guests for all of their luggage pieces that will be handled by hotels/airlines/trains. This helps porters ID our luggage as a group and it helps ID your bag in the case of lost luggage. What is the home address and email you would like on your customized luggage tags?
This phone number and email will also go onto your luggage tags unless you specify otherwise. If you'd prefer a different one, list it here.
Food & Beverage Information:
To maximize your eating enjoyment please answer the following:
If vegetarian or vegan, please specify what you will/will not eat:
Beverages
Water *
Check which water you prefer, or both.
Other Beverages *
Check all that you like
Health Statement
Health Statement & Emergency Contacts:
Conley & Silvers trips usually involve substantial walking (often over uneven surfaces), hiking, and sometimes traveling to altitudes. You may be in charge of getting your luggage on and off of a train a few times. You are fully responsible for your own healthcare and any related medical costs, hence our recommendation for travel and medical evacuation insurance. We also advise that you travel with a copy of your medical record and/or list of current medications, along with your doctor’s contact information. Please note any medical conditions, injuries, allergies (to medicines or other), current medications, or other health-related concerns that we should be aware of while you are on this trip, or feel free to send us electronic or paper copies of any documentation that you think might be helpful for us to have on file.
Doctor's Name *
Doctor's Name
In case of an Emergency, please give us the contact for your doctor:
Doctor's Phone Number *
Doctor's Phone Number
Emergency Contact
Please provide contact information for someone besides your travel partner in case of an emergency.
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
Additional Information