EmailMe Form - Client Information Form

Name of Traveler completing this form: *

First Last

Mailing Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Phone: *

### - ### - ####

Email *

Hidden Field

Number of Travelers: *

(If more than 6 travelers, please send other names and information in an email to jmaggio@thetravelcove.com)

Please make sure your name matches your passport or government issued ID exactly including your middle name, if applicable.
If your name doesn't match exactly, you may be denied boarding or be subject to high airline name change fees.

Please list the preferred name/nickname you like to go by.

For Gender, please put M for Male or F for female

Email addresses for minors: place N/A in blank

TRAVELER 1:
Please type name EXACTLY as it appears on your passport or Government Issued ID you will be traveling with: *

First Name:
Middle Name:
Last Name:
Name TRAVELER 1 prefers to go by:
Email Address:
Birthdate:
Gender:
US Citizen (yes/no):
Does TRAVELER 1 have a valid passport? (Yes/No)
T-Shirt size:

Please make sure your name matches your passport or government issued ID exactly including your middle name, if applicable.

If your name doesn't match exactly, you may be denied boarding or be subject to high airline name change fees.

Please list the preferred name/nickname you like to go by.

If the address is the same for all travelers, type SAME for their address information.

For Gender, please put M for Male or F for female

Email addresses for minors: place N/A in blank

TRAVELER 2:

First Name:
Middle Name:
Last Name:
Name TRAVELER 2 prefers to go by:
Email Address:
Birthdate:
Gender:
US Citizen: (yes/no)
Does TRAVELER 2 have a valid passport ? (yes/no)
T-Shirt Size:

TRAVELER 3:

First Name:
Middle Name:
Last Name:
Name TRAVELER 3 prefers to go by:
Email Address:
Birthdate:
Gender:
US Citizen: (yes/no)
Does TRAVELER 3 have a valid passport? (Yes/No)
T-Shirt Size:

TRAVELER 4:

First Name:
Middle Name:
Last Name:
Name TRAVELER 4 prefers to go by:
Email Address:
Birthdate:
Gender:
US Citizen: (yes/no)
Does TRAVELER 4 have a valid passport? (Yes/No)
T-Shirt Size:

TRAVELER 5:

First Name:
Middle Name:
Last Name:
Name TRAVELER 5 prefers to go by:
Email Address:
Birthdate:
Gender:
US Citizen: (yes/no)
Does TRAVELER 5 have a valid passport? (Yes/No)
T-Shirt Size:

TRAVELER 6:

First Name:
Middle Name:
Last Name:
Name TRAVELER 6 prefers to go by:
Email Address:
Birthdate:
Gender:
US Citizen: (yes/no)
Does TRAVELER 6 have a valid passport? (Yes/No)
T-Shirt Size:

Hidden Field

I verified that our names listed above are exactly as they appear on our passports or Government Issued ID: *

Yes

I verified that our birthdates above are correct and match our passports or Government Issued ID *

Yes

PASSPORT INFORMATION:

All travelers (including U.S. citizens and children, regardless of age) must have a valid passport book in order to travel to and from the United States. Passports that are damaged rendering text illegible or photos distorted, are not valid and will not be accepted. Passport cards are not an approved form of identification for travel by air and will not be accepted.

Passports are required to be valid for SIX months after the date your travel IS complete. Please check all travelers' passports and then complete this section: *

Our passport do not expire for at least 6 months after our travel dates

One or more of our passports are expiring and we will renew them prior to travel.

This travel is for domestic travel and a passport book is not required.

I/we do not have passports, but will obtain them before our departure date

Please note: While a Passport Card is a less expensive option than a Passport Book, they are NOT ACCEPTED for international air travel. They can be accepted for identification while taking a cruise that starts and ends in the United States, but if an emergency should occur while you are out of the country and need to be flown back to the US, the Passport Card will not be accepted.

If you need assistance in obtaining a passport, please let me know.

Hidden Field

ENTRY & EXIT RESTRICTIONS:

There may be some entry and exit restrictions based on each country for visitors. These restrictions are set forth by the foreign governments and include DUI's, health concerns and vaccinations, child safety and support, offensive actions or any felony arrest history. It is every traveler's FULL RESPONSIBILITY to check and verify entry, exit, passport, and visa requirements.

Entry and Exit Restrictions: *

Please enter any other information here that you feel may help me with planning your trip.

E-Signature *

Please type your name

E-Signature:
I verify that all information stated above is accurate. *

Clear

Sign by using mouse or stylus.

Date: *

MM / DD / YYYY

EMERGENCY CONTACT

In the event of an emergency, we would like to be able to contact someone you trust on your behalf. We will not use this information for any other purpose.

If you would like us to contact someone in case of an emergency, please provide an emergency contact name and phone number.

Emergency Contact's Name:

First Last

Phone

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