Mandatory Liability Form

This form is to provide BPP Tours with required information concerning your Passport, Emergency Contact and other information.

PLEASE COMPLETE and SUBMIT THIS FORM. INCLUDE THE INFORMATION AS IT APPEARS ON YOUR PASSPORT. If you don’t have a passport yet, submit as much information as possible now, and re-submit your information when you have received your passport. Alternatively, you can print this PDF form (Mandatory Liability Form – PDF), complete it my hand and return by email.

Your Name (As Found on your Passport): *

Current Address *

Current Address

City

State/Province

Zip/Postal

Your Gender *

Your Date of Birth *

Select Your Tour Date * Select Your Tour Date

Passport Number (If you are currently applying for or renewing your passport, please input nine 0’s.) *

Passport Country of Issuance *

Passport Expiration Date (Expiration date must be valid at least 6 months after the end date of your tour.) *

Departure Airport *

Your Phone Number *

Additional Phone Number

Prior BPP Traveler? *

Yes

Do you plan to purchase Travel Insurance? *

Yes

Emergency Contact in the USA (Name, Relationship, Phone, Additional Phone) *

Your Email Address *

How did you hear about BPP Tours? *

File Upload

Maximum file size: 134.22MB

Checking this box means that I verify that my full name is listed and spelled as it appears on my passport. If a name change needs to be made to an airline ticket based on incorrect information provided I know I will be charged any fees associated with such name change. Checking this box means that I agree that no liability is assumed by M.A. Shute, BPP Tours, LLC, or employees of BPP Tours, LLC for injuries to person(s) or damage to property while on any trip hosted by BPP Tours. *

I Agree

Payment

If you are human, leave this field blank.