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American Heritage Student Tour Application School:______________________________________ Passenger Name_________________________Student____Adult______ Parents Name ______________________________ Home Address_________________________________________________ City______________________________Zip Code ___________________ Home Phone____________ Work Phone _______________ Cell Phone____________ Person to contact in emergency:___________________________________________________________ Home Phone_____________________Work Phone__________________Cell Phone________________ Relationship___________________________________________________________________________ Cancellations after final payment due date are non-refundable. Failure to pay final payment by due date will result in cancellation and forfeiture of deposit unless arrangements are made in advance. Trip cancellation insurance is available and highly recommended. RESPONSIBILITY Slotsy Tours and Travel, Inc., Fullerton, CA acts only as an agent for the various transportation, hotel, sightseeing and/or service companies used, all of whom are disclosed principals. Slotsy Tours and Travel, Inc. can not be held responsible for loss, damage, or injury occasioned by neglect, default, or failure of any companies or persons engaged in conveying the tour other than those persons employed by Slotsy Tours and Travel, Inc. Slotsy Tours and Travel, Inc. can accept no responsibility for losses or additional expenses due to delay or change in transportation or other services, sickness, weather, strike, war, or other causes. Slotsy Tours and Travel, Inc. reserves the right to accept, decline, or to retain any person as a member of this tour at any time. There is no refund for unused services. The right is reserved to alter this program to accommodate unforeseen developments. I understand that the pricing and operation of this tour program is dependent upon a minimum number of participants. ______________________________________ ______________________________________ Signature, Tour Member Signature, Legal Guardian Date:__________________________________
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