Custom Tour Reservation Form

Tour Information
Tour Start Date *
Tour Start Date
Participant Information
Name 1 *
Name 1
Date of Birth *
Date of Birth
Gender
Phone (Home)
Phone (Home)
Phone (cell)
Phone (cell)
Phone (work)
Phone (work)
Address
Address
Name 2
Name 2
Date of Birth
Date of Birth
Gender
Phone (home)
Phone (home)
Phone (cell)
Phone (cell)
Phone (work)
Phone (work)
Emergency Contact
Emergency Contact Name *
Emergency Contact Name
Phone (home)
Phone (home)
Phone (cell)
Phone (cell)
Phone (work)
Phone (work)
Health Information
Are you comfortable walking a mile on a flat well maintained trail, a short distance on a trail that’s slightly overgrown with some short mild ups and downs, or a short distance off a trail into the forest? *
Do you have any disability or illness that might affect or restrict your full involvement in any aspect of the tour, or of which we should be aware for your safety (e.g., walking difficulties, diabetes, asthma, anigma)? *
Additional Comments
Important: Terms and Conditions
I have read the Tour Details and Policies at www.newenglandbirdtours.com/tour-details-policy/ including information about payments, refunds, and cancellations. I understand this material and agree to its terms and conditions. *