Participation Form 2024 Participation Form Name (Guest 1) * Name (Guest 1) First First Middle Middle Last Last Date Of Birth (Guest 1) * Name (Guest 2) Name (Guest 2) First First Middle Middle Last Last Date Of Birth (Guest 2) Primary Email Address(es) * Phone Number(s) * Home Address * Desired Tour Dates In case of an emergency, who should be notified? * Emergency Contact Information * Are you subject to any physical condition that you feel we should know for your safety during the trip? * Yes No Guest will be required to walk at a leisurely pace for upwards of 2 hours at a time, occasionally climb several flights of stairs, and possibly navigate steep inclines. If you might have trouble with these physical activities please let us know. If yes please describe: Will you be traveling by Plane, Train, or Car? * Plane Train Car When are you expecting to arrive in Bordeaux? * Do you have any special dietary requirements? * Yes No If yes, please describe: 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 Submit If you are human, leave this field blank.
