Tour Leader & Advisor Form

Tour Name*

Passport Name (Exactly as it appears on your passport. First, Middle, Last)*

Mailing Address*

City*

State*

Zip*

My E-mail Address*

Work/School Phone (include ext. if needed)

Home Phone

Mobile Phone

Best time to call home

Best time to call work

Do you have a United States of America Passport?*

Gender*

If no, please state country of passport origin

My Date of Birth*

My Age at Time of Travel*

Passport Number

Passport Expiration Date

Note: Passport must be valid for 6 mo beyond tour return date.

Emergency Contact*

Relationship to Participant*

Emerg Contact Name (not on your tour at same time)*

Emerg Contact Phone Number

Name of Employer/School*

Employer/School Address (Street, City, State, Zip)*

Travel Arrangements for me*

I will remain overseas and return at a later date (please send me a TSA Tours Air Deviation Form)
Currently, no deviation requested.

I have participated as an advisor in a TSA Tours Program:*

If yes, when?

I have participated as an advisor with another organization in the last 5 years:*

If yes, when and with whom?

Submitting this form below indicates that I have read the TSA Tours Terms of Participation and General Information and will abide by its contents, and that I am physically and emotionally capable of overseas travel. I understand that as an advisor I have additional responsibilities as listed in the orientation material that will be sent to me.

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