Encore Tours

Encore Unsigned Application Form

Music Travel and Music Educator Resources

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Traveler Support • 343 Congress Street, Suite 3100 • Boston, MA 02130 Participant Name: Account ID: Group Leader Name: Group #: Program Name: Dear Traveler, Thank you for choosing to travel with us. We have received your registration form without a signature. As our liability insurers insist that we have a signature on file for each participant before departure, it is necessary that you sign this letter below and return it to us. After entering your participant information above and signing this form, please return it to us in one of three ways: 1) via mail at the address listed below, 2) via fax at 617-450-5601, or 3) via scan then email at accounts@acis.com. I have read the Terms and Conditions and the Release from Encore Tours. Signature of Participant Date All registrants under 21 years of age must have the following section completed: I am the parent/legal guardian of the above minor registrant. I have read the Terms and Conditions and the Release from Encore Tours, and agree to be bound thereby, and agree to be responsible for all amounts owed to Encore Tours by the minor and any other actions by the minor on the trip. I hereby consent to the above minor registrant's participation in all activities organized and/or provided by Encore Tours. I hereby assume all risks of loss and injury that may be incurred, directly or indirectly as a result of any such participation and authorize Encore Tours to arrange for professional care/treatment in case of an emergency. Name of Parent or Guardian Date Signature of Parent or Guardian Date

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