REGISTRATION FORM
FOR 15-DAY PILGRIMAGE TO ITALY
September 23 – October 7, 2010
Organized by CTH Friendly Travel Inc and St. Mary of the Assumption Parish
Surname ........................................................................ First Name(s) ............................................................
(EXACTLY as shown on passport)
Passport # ................................................. Citizenship..................................... Date of Issue...........................
Date of Birth .............................................. E-mail: .............................................................................................
Address................................................................................................................................................................
# and street city postal code
Telephone: home........................................ cell................................................ work.......................................
Emergency contact:................................................................................................................................................
Name relationship phone #
As per attached program. Price $ 3,425.00 + $ 305.00 taxes*. DEPOSIT OF $ 400.00 at registration,
Balance of $ 3,025.00 + tax by June 30, 2010
Insurance (rates upon request): Accepted c Declined c
Method of Payment: Cash c Cheque c Credit Card c VISA / MASTERCARD / AMEX
* Airport departure taxes and fuel surcharges are subject to change.
I, the undersigned, will not hold the diocese of St. Catharines, St. Mary of the Assumption Roman Catholic Church, Father Christopher Szczepanik and/or CTH Friendly Travel Inc responsible for any additional expenses incurred from any source for the duration of the Pilgrimage.
ALL PAYMENTS (including deposit) ARE NON-REFUNDABLE; NO CHANGES ARE ALLOWED.
I understand that it is my responsibility to stay with the group and be on time, so that the Pilgrimage Program as planned will not be compromised. Should any problems occur, I will notify either the tour guide or the priest as soon as possible. Should I miss the bus for any reason, I realize it is my responsibility to rejoin the tour group at my own expense, and in any way possible. I understand all pilgrimage participants will receive emergency cell phone numbers (for the tour guide) and all pertinent hotel information. I take full responsibility for any damages to property caused by me. Should any changes to the itinerary be necessary, I understand an alternate activity and/or attraction may be substituted, and there will be no change in price. I understand there will be no refunds for any unused portion of the program, which may be caused by immigration and/or customs reasons, inclement weather, passenger or flight delays, strikes, etc.
DOCUMENTATION REQUIRED: PASSPORT AND PHOTO ID. PASSPORTS MUST BE VALID FOR A MINIMUM OF 6 MONTHS AFTER YOUR RETURN DATE TO CANADA OR YOU MAY BE DENIED BOARDING WITH NO REFUND APPLICABLE. RESIDENTS NOT HOLDING A VALID CANADIAN PASSPORT MUST POSSESS A PERMANENT RESIDENT CARD and VALID PASSPORT of country of origin. The decision of entry to Italy is made by Immigration at the Border. VISITORS MAY BE REFUSED ENTRY EITHER FOR PUBLIC SECURITY, TRANQUILITY ORDER OR HEALTH CONDITIONS and CUSTOM REASONS. CTH Friendly Travel Inc, the diocese of St. Catharines and/or St. Mary of the Assumption Roman Catholic Church are not responsible if passenger is denied entry to or from Italy. TRAVEL INSURANCE IS HIGHLY RECOMMENDED.
My signature on this form indicates my understanding and acceptance of the attached terms and conditions of the pilgrimage, the itinerary and registration form.
Signature________________________________________ Date__________________________
CTH FRIENDLY TRAVEL INC (TICO #4631602), 407 Speers Road, Suite 203, Oakville ON, L6K 3T5