Personal information

Complete Name

Street Address



Zip Code


Date of Birth



Phone # (Home)

Cell phone # (On trip)

E-Mail Address

(All communications are sent via e-mail!)

Roommate on trip (Name)

Passport info



Date of Issue

Date of Expiration

Emergency contact (not on trip)


Phone #

Relationship to participant


Note special needs or history (e.g., medical, physical or dietary) of which we should be aware. Our group dinners feature either buffet, entrée choice or fixed menu. So that our food providers can better plan our menus, we ask that you number your food choices below in order of preference. Even though we try our utmost to be accommodating, this does not mean a guarantee of your choice!

Bicycling experience

How often do you cycle? What is your typical ride length, your pace, and on what terrain? Tell us about your touring experience within the past 3 years Are you familiar with basic bicycle maintenance, like changing a flat tire? How will you train to successfully complete this tour? How did you find out about this tour?

What is your T-shirt size?