Participation Form

Guest 1 Name

First

Middle

Last

Guest 1 Date Of Birth

Guest 2 Name

First

Middle

Last

Guest 2 Date Of Birth

Number of Guests in Group

Tour Dates

Primary Email Address

Primary Phone Number

Primary Home Address

In case of an emergency, who should be notified?

Emergency Contact Information

Please share any physical condition(s) that might impact your trip.

In most cases, guests will tour at a leisurely pace for upwards of 2 hours at a time, occasionally climb several flights of stairs, and possibly navigate steep inclines and cobblestones. If you might have trouble with these physical activities please let us know.

Please share any special dietary requirements.

Arrival Information

Arrival Date

Arrival Time

Departure Information

Departure Date

Departure Time

Expected Luggage Per Person

Statement of travel insurance

If there is anything else we need to know to help you have a wonderful trip please make a note below:

By checking this box, I acknowledge that I have read, understand, and agree to the Cancellations & Refunds, Itinerary Changes, and Waiver of Liability policies as stated in the Terms and Conditions.

Link to Bordeaux Wine Vacations Terms and Condition Page

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