Reality Tour Application

Reality Tours Application

Title of Reality Tour you are applying for or group name:*
Destination Country
Departure Date:*
Name
First and middle name(s)*

As appear on your passport
Last name(s)*

As appear on your passport
Prefered Name:
Address:*
City:*
State:*
Country:*
Zip:*
Cell Phone:*
Email:*
Date of Birth:
Birthplace:*
Occupation*

(if retired, please say from what field.)
Occupation (if retired, please state from what field)
Employer:
I identify my gender as:*
Please share your pronouns:
Passport Information
Passport Issue Country*
Passport number:*
Place of issue*

(State if issued in the U.S.)
Date of issue:*
Date of Expiration:*
Emergency Contact
Name:*
Relation*
Email:*
Cell phone:*
Accommodations
Most of our trip prices are for double occupancy. We cannot guarantee you a roommate. Single room accommodations require an additional fee. Please mark your preference. If this is a customized group please skip this question.
Do you want a single room?
- Yes
- No
Preferred roommate:

(If not requesting a single room)
Room Type
(if not requesting a single room)
Roommate gender preference
Tell us more about yourself
Why do you want to go to this destination?*
What do you hope to learn from your Reality Tour? Are there topics, organizations or people that are of particular interest to you?
How will you share your learning experience when you return home?*
Do you have any medical conditions that might affect your ability to participate in any aspects of this tour?*
Please let us know so we can talk about how to make the trip as accessible as possible.
How did you hear about us?*
Comments
This field is for validation purposes and should be left unchanged.

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Reality Tours Application

Name

Passport Information

Emergency Contact

Accommodations

Tell us more about yourself