Online Registration — Explore Amazing Places

Please complete this registration form to reserve your place on an Explore Amazing Places Art Workshop or one of our Tours.

Upon receipt of this form, we will provide additional information to assist you in planning your trip. Do not make airline or travel insurance arrangements until you are informed by Explore Amazing Places that your Workshop or Tour has “made.”

* This program features a fair amount of walking, often in villages where there are uneven or cobblestone streets (some with steep inclines). If you have trouble walking or are wheel-chair bound, please reconsider your participation.

*Please read and agree to Explore Amazing Places Terms & Conditions.

Terms & Conditions

Please complete the form below For each traveler (all items marked with an * are required)

Name of Workshop or Tour

Legal Name

First Name

Last Name

Name You Go By

Email

Passport Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Sex

Date of Birth

MM

DD

YYYY

Emergency Contact Name

Emergency Contact Number

(###)

###

####

I am on my own but wish to share a room

I prefer the single supplement charge

I am a smoker

I wish to participate in the Optional Add-on associated with this trip.

Additional Information

Medical/Dietary Considerations or any other pertinent information related to the participant (i.e. the name of the person you wish to room with)

I have read and understand the terms and conditions