ESP PHOTO RETREAT (CORDES) REGISTRATION FORM

Kindly read, digest, fill in and sign this registration form, then email it to jon@eyeinthesky.com.au
Bank details for all tour deposits and balance payments: €2,975 exchange as at March 2023 is £2,632.49)

Westpac Challenge Bank
Floreat Forum
Perth
Western Australia

BSB (Sort code) : 036063
A/C name: Jon Davison T/A Eye in the Sky
A/C number: 231003
SWIFT code: WPACAU2S

PERSONAL DETAILS

Tour date:..............................................................................

Full name as it appears in your passport: .......................................................................................................

Date of Birth: ...................................................................................................................................................

Nationality as it appears in your passport: .................................................................................................

Male ...........................               Female  ...........................        

Name of Spouse / Partner / Friend travelling with you (if applicable): ....................................................................

Street Address: ......................................................................... State / Region: .................................................

Post Code: ........................................................... Country: ..............................................................................

Mobile Phone number (please include Country and Regional Code)

........................................................................................................................................................................

Email: ...............................................................................................................................................................

Room choice:  Please indicate your choice of the following;

a. A room with en-suite ....................................................................................

b. A non-photography partner sharing room with en-suite (accom & all meals)...........................................

Additional information (e.g. dietary requirements, allergies, health issues):

.........................................................................................................................................................................

I hereby confirm that I have or I will obtain the mandatory insurance, including travel protection and medical emergency evacuation insurance prior to our date of departure.

I confirm that that I have read and understood the Terms and Conditions.

Signature: ................................................................................... Date: ............................................................

PASSPORT DETAILS

Full name as it appears in your passport: ..........................................................................................................

Passport Number: .............................................................................................................................................

Nationality: .......................................................................................................................................................

Date of Issue: .........................................Expiry date (6 months minimum validity): ....................................

EMERGENCY CONTACT DETAILS

Name: ...............................................................................................................................................................

Relationship to you: ...........................................................................................................................................

Street Address: ......................................................................... State / Region: ...............................................

Post Code: ............................................................ Country: .............................................................................

Telephone Number: ...........................................................Email: ......................................................................

TERMS

I am aware that by participating in this photography tour, although unlikely, there is a possibility of risk and danger while accessing some of the medieval locations, including loss and damage to property, illness, personal injury and/or death. These risks could be a consequence of disease, food-related issues, climate, forces of nature, wildlife, quarantine, robbery, political instability, terrorism, strikes, government restrictions, and travel accidents whilst walking, in car, aircraft, boat / ship journeys, or other types of transportation. I assume all such risks and I hereby release ESP PhotoTours from any and all liability actions, claims and demands that might arise in connection with the activities offered in this tour. I have read and I agree to the conditions in the detailed itinerary including the sections on terms of payment, insurances, cancellations, refunds, fitness, health considerations and terms and conditions. I understand the document and I agree to be bound by its contents. By signing this document I am waiving (to the fullest extent permitted by law) all claims that I might have against ESP PhotoTours in respect of any loss or injury as a direct / indirect consequence of participating in this photography tour.

Photography guests will have priority to the allocation of rooms (en-suite rooms or rooms with shared bathrooms), which their partner may share, but if a non-participating partner/friend wishes to have their own room, it may be possible at the same rate as a phototour guest, but will depend on tour numbers (please contact us closer to the time to check availabilty).

Name (please print clearly using upper case letters): ..........................................................................................

Signature: ................................................................................... Date: ............................................................

Please sign both pages. A confirmation of your booking will be sent to you by email upon receipt of the deposit and a completed Registration Form. By signing this form you give permission to ESP PhotoTours to use images taken during the tour for ESPPT promotional purposes unless otherwise noted by the participant.

Any images/videos of the participant will be given to the participant if requested.

ESP Photo Tours
9 Rue des Mitons
81170 Cordes-sur-Ciel
Occitanie
France
w. www.eyeinthesky.com.au
e. jon@eyeinthesky.com.au
fb. https://www.facebook.com/espphototours/

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