TOUR PARTICIPANT INFORMATION

Please fill out this form and mail or email to:

Book of Mormon Tours, P.O. Box 938, Richfield, UT, 84701

Telephone (801) 226-5200, Email: BookOfMormonTours@gmail.com

Date of Tour_____________________ Cost of Tour $___________ Length of Tour______days

Mr. Mrs. Ms. Miss ___________________________________________________________

(Name exactly as it appears on passport)

Name preferred on name tag_______________________________________________________

Address_______________________________________________________________________

City_______________________________________State_______________Zip_____________

Home Phone____________________________ Cell Phone______________________________

E-mail____________________________________ COVID-19 VACCINE: Yes____ No____

Date of Birth_____________________Age______Place of birth__________________________

Marital Status ( ) Married ( ) Single Sex ( ) M ( ) F

Passport Number_________________________________Expiration Date__________________

Citizenship______________________________Airport of Departure______________________

I will share a room with__________________________________I prefer a single room_______

(I understand that there will be an extra charge for a single room)

List any allergies, special diet needs or health conditions that might need special consideration.

______________________________________________________________________________

In case of emergency, please contact

______________________________________________________________________________

(Name)                                               (Relationship)                                              (Telephone)

Please see reverse side for Terms and Conditions. Please sign and return.

(Rev. March 2023)