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After reading Terms and Conditions found at the top of the Home Page, print out the following Registration Form and mail or Fax it to
Inside Italy Tours
2207 River oaks Boulevard, Suite 216
Jackson, Mississippi 39211
601-977-4951
A non-refundable deposit of $200 per person is required to confirm your registration. You may make payments in increments spaced out in whatever time period you may like. Full payment is required 60 days prior to departure. Inside Italy Tours reserves the right to create a waiting list for the trips. Participants who are fully paid will have first place on the list.
Registration Form
Name of program for which you are applying
_____________________________________________________________________
Date of program________________________________________________________
Where did you find out about these tours?______________________________
Name (as it appears on your passport)_____________________________________________________________
Name by which you are called_____________________________________________
Date of birth:___________________________________________________________
Address_______________________________________________________________
______________________________________________________________________
Phone (area code and number) _____________________________________________
Email address___________________________________________________________
Disabilities (Please explain. Attach a sheet if necessary)
_____________________________________________________________________
Allergies or other health conditions_____________________________________________________________
Is there any reason that you could not walk distances? (Attach a sheet if necessary)
_____________________________________________________________________
Contact person and address_______________________________________________
____________________________________________________________________
_____________________________________________________________________
Do you have or will you have a passport valid for at least six months after the tour (required by US law)____________________
I have read and agree to the terms and conditions as they appear on the web site.
Signature: ______________________________________________________________
I fully understand that going on this trip is voluntary.
I am fully aware of the inherent dangers related to making such trip and of the basic safety rules for participation in spending time in Italy. I fully understand and unconditionally agree that Inside Italy Tours (Inside Italy, Inc) and its owner/operator, employees, agents, representatives, and assigns therefore accept no responsibility and liability nor any other participant may be held liable in any way to me or my family, heirs, or assigns for any occurrence in connection with this trip which may result in financial or other loss, accident, injury, death, or other damages (including but not limited to those which may occur as a result of travel delays, acts of terrorism, or acts of nature). I hereby personally assume all risks that I may incur in connection with such trip, and I further release Inside Italy Tours (Inside Italy, Inc.) and its owner/operator, employees, agents, representatives, and assigns for any injury or damage which may befall me while participating in traveling to Italy and returning from said trip as well as all activities entered into during the time in Italy, including all risks connected therewith, whether foreseen or unforeseen; and further to save and hold harmless Inside Italy Tours (Inside Italy, Inc.) and its owner/operator, employees, agents, representatives, and assigns from any claim by myself or by my family, estate, heirs, or assigns, arising out of my travel and participation in the trip to Italy.
I further represent and state that I understand the terms herein are contractual and not a mere recital; and that I have signed this release of my own free act.
I have fully informed myself of the contents of this release and the Terms and Conditions form by reading them before I signed this sheet. I assume complete responsibility for my physical fitness for participation in this trip.
In witness whereof, I have executed this release on,
(date)_________________________
Signature of Participant_____________________________________________________________
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