ET412-21 Vikara Yoga Connect to Your Inner Light Through Yoga & Ayurveda April 16 – 23, 2021 ET412-21 Vikara Yoga Connect to Your Inner Light Through Yoga & Ayurveda Thank you for choosing Ellison Travel & Tours for your upcoming trip! Please fill out one booking form per family/address Primary Traveller Information Please provide your name as it appears on your passport. Note: If you are travelling outside of the country it is each traveller's responsibility to be in possession of the correct documentation. Failure to do so will result in being denied entry/boarding and returned home at your own expense. Canadian Citizens go to http://travel.gc.ca for destination requirements. Non-Canadian citizens must contact the embassies of the countries you are travelling to (&/or travelling through by air) to determine your specific documents required. Non-Canadians must also be in possession of the correct documents to return to Canada. Ellison Travel & Tours recommends passports are valid for 6 months beyond your return date. Non-Canadians must check entry and transit requirements. Please Note: Mandatory - the name on all airline tickets must be an exact match to the name as it appears on the valid passport (surname and given names). If there is an error, fees are charged to change the ticket. Ultimately, an error in your name could result in the loss of the trip and/or denial by the airline to board the flight. Title Mr Mrs Ms Dr. First Name * As per your passport Middle Name(s): As per your passport Last Name: * Preferred name on tour (IE. Name used on a daily basis) Date of Birth * Gender * Male Female: X Another Gender Passport Number: Passport Expiry Date: Nationality: For Non-Canadians travellers: Please contact Ellison Travel & Tours by filling in this request form: https://www.ellisontravel.com/documentation/ We will provide information on the entry and transit requirements. It is the responsibility of the traveller to have the correct travel documents for your trip. Address * Address Line 2 City * Province/State * Postal/Zip Code * Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d‘Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Primary Phone Number * Home Phone Cell Phone Email Address * Do you consent to us providing you with travel related information by email in compliance with Canadian Anti Spam Laws? * Yes No Emergency Contact Name * Relationship to traveller Emergency Contact Phone Number * Do you have a valid Canadian issued Health Card? * Yes No Do you have any dietary requirements? Yes No Please provide details: Do you have any allergies? Yes No Please provide details: Do you have any mobility issues? Yes No Please provide details: Do you have any medical issues? Yes No Please provide details: Are you celebrating any special occasion while on tour? Yes No Please specify Add another traveller? - Must be at same address and using same form of payment Yes If you are human, leave this field blank.