Emergency Contacts

Sometimes when we travel the best part is those unexpected moments, unscripted and unplanned, where we have an experience or interaction that stays with us long after the structured events are over. Whether it's a conversation with a new friend, or a difficult day that now seems funny, we want our trips to be full of these enriching moments.

For most trips, the unexpected moments are just these--good and desirable.

However, in case the unexpected moment is an emergency, we need to be able to contact the person of your choice. Thus we need to know from you who you'd like us to contact. Please complete the information below and send it to us. This is important--so much so that your travel documents won't be released until we have this on file.

Thank you.

* Required fields
Name *
E-mail Address *
Trip Destination: *
Departure Date *
Emergency Contact Name: *
Relationship to you: *
Contact Address: *
City: *
State: *
Zip: *
Their Home Phone: *
Their Work Phone:
Their Fax:
Their Mobile Phone:
Their Email address (home):
Their Email address (work):
Notes/other information you want to tell us:

I have read and agree to the Privacy Policy *

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Questions: contact us at info@distinctive-destinations.com