JR Travelers Registration FormDani Gilbreth2020-06-09T00:49:14+00:00 JR Travelers & TRIP REGISTRATION One attendee per form. Please repeat process for additional travelers. Please enable JavaScript in your browser to complete this form.Trip Name & Date *Select your trip...Branson Show Extravaganza | April 10 - 14, 2023June 27 – AIDA – Elton John and Tim RiceAugust 15 – CLUE – It’s not just a game anymore!Beautiful Maine & Historic Boston | September 25 - October 2, 2023October 3 – MILLION DOLLAR QUARTETPigeon Forge and Smoky Mountains Show Trip | November 13 - 17, 2023Your Name *FirstLastDate of BirthAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email (if applicable)Emergency Contact Name, Relationship and Phone Number (someone not traveling with you)Trip Insurance *I hereby accept trip insurance and agree to the terms and conditions of the program.I hereby decline the offer to purchase travel protection / trip insurance. I understand that I am solely responsible for any cancellation penalties and out-of-pocket expenses incurred. I will also make my own separate travel, medical and any other provisions in the event of an emergency while I am traveling. I also understand that I am not protected from loss in the event of any travel vendor, travel supplier or any travel-related operator default. This waiver confirms that I voluntarily decline travel insurance and travel protection insurance for the trip described above. I understand I am solely liable for all airline fees, supplier fees, and agency fees that may apply, and I hereby release Research Travel, Inc. and its agents from any and all liability related to the trip described above.Trip Insurance Notification: (Signature REQUIRED) *Clear SignatureTrip insurance is strongly recommended by TOTAL ACCESS TRAVEL LLC to protect clients from certain situations that could cause this trip to be cancelled, interrupted, and/or delayed resulting in a loss of time and monies. We use Arch/Roam Right and the cost is $__ per person per event. You have the option of searching elsewhere and showing us proof of coverage prior to final payment..Date *WebsiteSubmit