Trip Registration Form

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A separate Registration Form is required for EACH TRIP Registration

(You can register roommates if you like)

CLICK HERE if you'd prefer a PRINTABLE REGISTRATION FORM that can be mailed in.

Mail / Payable to: Jen's Travel Journeys, 2771 Steeple Court, Palm Harbor, FL 34684

TRIP PAYMENTS -

Payment must be received within the same week as this registration.

(Remember we're closed on weekends & Thursdays)

Registered FL Seller of Travel: ST#40811

Our FINE PRINT:

Seats are limited so payment is required to hold seats. Prices are cash/check discounted. Electronic Payments carry an additional charge. Cancel/Refund Policy is in ‘The Scoop” & Returned Check Charge is $35. Include the name of the trip on your check to ensure your payment is credited to the right trip(s). Special considerations must be noted when registering. Some trips have more detailed registration forms; if so, we’ll contact you. If you’d like a receipt, please include a self-addressed, stamped envelope for receipt to be mailed back to you. We encourage all travelers to purchase Travel Insurance for every single trip. (They’re called emergencies for a reason.) We'll send a coverage quote upon receipt of payment. Please review our Terms & Conditions.

Thanks for registering with us!

We look forward to traveling with you!

Our Terms & Conditions.

Email *

Full Name *

First Time on a trip with Jen? *

Yes

Cell Phone Number

Text Okay?

Yes

Clear selection

Home Phone Number *

Any specific times you're NOT available to answer?

Postal Mailing Address (incl Apt # if applicable) *

Please Select Your Community (if listed)

St. Mark's Village

Coral Oaks Village

Stratford Court of Palm Harbor

NAME OF TRIP you're registering for *

Separate REGISTRATION Form is required for EACH TRIP Registration

Your Room Category Selection? *

QUAD OCCUPANCY (You + 3 Roommates)

TRIPLE OCCUPANCY (You + 2 Roommates)

DOUBLE OCCUPANCY (You + 1 Roommate)

SINGLE OCCUPANCY (Just You)

List Your Roommate's Full Names for this Trip?

Your Payment Amount? (Just You) *

How will you be paying?

Cash / Check (Discounted Price)

E-Payment (Debit/Credit Card Price)

Clear selection

Any Special Considerations to Note?

Do you have a Medical Form on file with us? *

Yes

Thanks for Registering with Me!

I'm looking forward to traveling with you!

- Jen Henriksen

A copy of your responses will be emailed to the address you provided.

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