RESERVATIONS | Black Diamond Life Travel

Reservation Form

First name

Last name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Birthday

Month

Day

Year

Passport Number

Passport Expiration Date

Upload Passport

Please Upload a copy of your passport here

T-shirt size

Room Type

Traveling With?

Roommate Name

If travelling with a roommate or roommates, please provide names here

Check-In Date

Check-Out Date

Do you have any health Issues or allergies we should be aware of?

If necessary, please be specific in the Special Needs section

Any Special Needs?

Do you need Travel Insurance?

*Please note selecting yes does not automatically enroll you in travel insurance. You must either purchase your own or select from the attached link https://www.imglobal.com/img-producer-insurance-plans?imgac=542692&app_method=2&svi=1&sort=popularity

Signature

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Signing this reservation form confirms that you agree to the Terms & Conditions and Cancellation Policy. Please be sure to read them before signing.