Encore Tours

GL Registration Form

Music Travel and Music Educator Resources

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This form must be completed by the Group Leader and returned to Encore Tours with your group's first applications. Please print in CAPITAL LETTERS and fill in circles completely (ex: ). Do not staple anything to this form. Please use black or blue ink. Return this form to Encore Tours, 343 Congress Street, Suite 3100, Boston, MA 02210. Office Use Only Anticipated group size: Your group is made up of (fill in all t hat apply): Projected # of participants: Projected # of assistants: Signing and submitting this form acknowledges your acceptance of Encore Tours Terms and Conditions as well as the group leader duties and responsibilities described on www.encoretours.com and in the Encore Tours Registration Booklet. If you have not received this booklet, please download a copy from encoretours.com. Group Information Group Leader Signature Date Encore Tours Group Leader Registration Form middle school students high school students adults ot her college Group Leader Information Program Selection: (P lease note that Encore Tours may need to change the routing of the trip due to f light and/or hotel availablity. Your tour consultant will notify you if this is the case.) Group # Phone - - Please be sure to enclose companion's application if not already enrolled. City State Zip Eme rge ncy Contact: In the US while overseas Name Ensemble Name and Address Daytime Telep hone Profession As a Group Leader, I have qualified for a free single room. I am traveling with a companion and would like to room in a double room twin room with: I would like Encore Tours to book me from a DIFFERENT US departure city than that of my group: Performer Non - Performer Director P rogram Name P referred Depart ure Cit y How many miles are you from your departure city? Preferred Departure Date / / MM/DD/YYYY SM Home Telephone - - Gender: M F Social Security # - - Email Fax - - Address City State Zip Code / / Birthdate MM/DD/YYYY Last Name (Print all of your names exactly as they appear on your passport.) First Name Middle Name Email 37280

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