Traveler Booking Form

Please complete this Traveler Booking Form to confirm your travels with Explorer X. By completing this Booking Form, you agree to Explorer X’s Terms & Conditions and our Waiver of Liability Agreement, which can be downloaded by clicking the button below. Explorer X is a DBA of Explorers 4, LLC.

Please note: We require every traveler (regardless of age) to submit a completed Traveler Booking Form. Let us know if you have any questions!

 
TRAVELER INFORMATION
Name *
Name
Please let us know who else you are traveling with.
CONTACT INFORMATION
Please be sure to include your country code.
Mailing Address *
Mailing Address
PASSPORT INFORMATION
Please enter information EXACTLY as it appears on your passport.
Family Name / Last Name
First and Middle (if applicable)
Date of Birth *
Date of Birth
Date of Issue *
Date of Issue
Date of Expiration *
Date of Expiration
ADDITIONAL INFORMATION
Do you have special dietary requirements, allergies, and/or preferences that you would like us to know about for this trip? If YES, please explain below.
Do you have any health, medical, and/or psychological conditions that may affect your ability (or the ability of others) to safely participate in this trip? If YES, please explain below.
Are there any special occasions or events you will be celebrating on this trip? (Ex: Birthday, wedding, anniversary, graduation, etc.) If YES, please explain / describe below.
If there is anything else that we need to know to help ensure your safety and comfort on this trip, please tell us in the space below.
TRAVELER AGREEMENT
Participants 18 Years of Age or Older
By completing this Traveler Booking Form and e-signing my name below, I acknowledge that I have read, understand, and agree to Explorer X’s Terms & Conditions and Waiver of Liability, Assumption of Risk, and Indemnity Agreement.
Name *
Name
Today's Date *
Today's Date
Minors Under 18 Years of Age
A parent or legal guardian must sign this Agreement on the minor’s behalf. The parent or guardian must sign and submit his or her own Agreement separately if also participating in the tour. I am the parent / guardian of the minor and understand the legal consequences of signing this agreement. I understand that I am responsible for the obligations of the minor as described in the agreement. I agree to be bound by the terms of this agreement. I have read this agreement in its entirety, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me. My signature applies to all pages of this agreement
Name of Minor
Name of Minor
Name of Parent or Guardian
Name of Parent or Guardian
Today's Date
Today's Date
By completing and submitting this Traveler Booking Form, you agree to Explorer X’s Terms & Conditions and our Waiver of Liability Agreement, which can be downloaded by clicking the button at the top of this page.