Additional Travelers Intake Form

How did you hear about us?*

Are you traveling with another party with the same travel details?*

Yes
No

Travel Dates:*

Travelers

Traveler 1*

Full Legal Name (Exactly as it is or will be on your passport, including any suffix’s like Jr. or Sr.):

Prefix First Middle Last Suffix

Traveler 1 Address, City, State & Zip Code*

Traveler 1 Birthdate*

Traveler 1 Email*

Traveler 1 Phone

Traveler 1: Do You Have a Valid US Passport Book? (Not Card)*

Yes
No

*IMPORTANT: Some destinations require visitors to hold passports that are valid at least 6 months past their travel return date. They also may require that you have a certain amount of blank pages available. **Note: It can take approximately 6-8 weeks to receive a passport (or renewal) after you apply under normal circumstances. If you are in this situation, consider the EXPEDITE option.

Passport Expiration Date*

*Note: it can take approximately 6-8 weeks to receive a passport after you apply

Traveler 2*

Full Legal Name (Exactly as it is or will be on your passport, including any suffix’s like Jr. or Sr.):

Prefix First Middle Last Suffix

Traveler 2 Birthdate*

Traveler 2 Email*

Traveler 2 Phone

Traveler 2: Do You Have a Valid US Passport Book? (Not Card)*

Yes
No

*IMPORTANT: Some destinations require visitors to hold passports that are valid at least 6 months past their travel return date. They also may require that you have a certain amount of blank pages available. **Note: It can take approximately 6-8 weeks to receive a passport (or renewal) after you apply under normal circumstances. If you are in this situation, consider the EXPEDITE option.

Passport Expiration Date*

*Note: it can take approximately 6-8 weeks to receive a passport after you apply

Need to add a third traveler?

Yes
No

Traveler 3

Full Legal Name (Exactly as it is or will be on your passport, including any suffix’s like Jr. or Sr.):

Prefix First Middle Last Suffix

Traveler 3 Birthdate

Traveler 3 Email

Traveler 3 Phone

Traveler 3: Do You Have a Valid US Passport Book? (Not Card)*

Yes
No

*IMPORTANT: Some destinations require visitors to hold passports that are valid at least 6 months past their travel return date. They also may require that you have a certain amount of blank pages available. **Note: It can take approximately 6-8 weeks to receive a passport (or renewal) after you apply under normal circumstances. If you are in this situation, consider the EXPEDITE option.

Passport Expiration Date*

*Note: it can take approximately 6-8 weeks to receive a passport after you apply

Need to add a fourth traveler?

Yes
No

Traveler 4

Full Legal Name (Exactly as it is or will be on your passport, including any suffix’s like Jr. or Sr.):

Prefix First Middle Last Suffix

Traveler 3 Birthdate

Traveler 4 Email

Traveler 4 Phone

Traveler 4: Do You Have a Valid US Passport Book? (Not Card)*

Yes
No

*IMPORTANT: Some destinations require visitors to hold passports that are valid at least 6 months past their travel return date. They also may require that you have a certain amount of blank pages available. **Note: It can take approximately 6-8 weeks to receive a passport (or renewal) after you apply under normal circumstances. If you are in this situation, consider the EXPEDITE option.

Passport Expiration Date*

*Note: it can take approximately 6-8 weeks to receive a passport after you apply

Other Information

Prefer communication via

Phone
Email
In Person

List any special needs, mobility concerns, dietary concerns, or other needs:

Trip Details

We are celebrating our…

Honeymoon/Wedding
Anniversary
Birthday
Other Occasion

Other Occasion, Specify:

Date

As far as airfare, would you like:*

To purchase airfare on your own (also use this option if redeeming airline miles/points)
To purchase an entire package including airfare

Whether you purchase your own airfare or I include it in the package, I will coordinate your ground transportation from the airport to the resort or cruise pier unless you instruct me otherwise

Our preferred departure airport is:*

We would also consider these airports:

Considerations:*

Connecting flights are ok, depending on time and price
Less than 1 hour ride from destination airport to hotel
Nonstop flights only

Airline preference:

First Class:*

Yes
No

We prefer:*

Window/Middle
Aisle/Middle
Aisle/Aisle
Exit Row

Where are you at in the planning process? We have …*

Not done any research
Read online reviews, traveler forums, or message boards
Asked friends and family for advice
Compared prices for specific destinations, hotels, or flights
Looked at general ideas online
Contacted another travel agent

Have you ever worked with a travel agent when planning previous trips?*

Yes
No

Please describe any other preferences for your trip:

How do you plan to pay for medical emergencies, if any were to come up before or during your vacation?*

Personal Credit Card
Travel Protection Insurance
Cash

Remember that if something comes up that you need to cancel your trip or come home early from your trip, you could lose all or a portion of the money you paid and possibly more to get home early. We offer travel insurance to help in the event something unexpected should arise.

When are you planning to book this trip?*

I am committed to my clients and I expect the same level of commitment for the time invested in customizing your vacation experience. Having an understanding of where you are in the process helps me to prioritize and reply to your request in a timely manner. Prices are not guaranteed until the required deposit is received.