British & Irish Lions | Personal Details Form

Lions Guest Programme – Personal Details

Title *

Surname (as per passport) *

Given names (as per passport) *

Sex (as per passport) *

Nationality *

Date of birth *

DD/MM/YYYY

Passport number *

Passport - Date of issue *

DD/MM/YYYY

Passport - Date of expiry *

DD/MM/YYYY

Passport - Country of issue *

Email address *

Mobile number (including country code) *

Phone number (including country code)

Postal address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you have any dietary requirements?

Do you have any accessibility requirements or health issues that we should be aware of?

If yes, please complete the questionnaire found here: https://www.lionstour.com/medical quoting booking reference: Lions Guest programme

What room type would you like? *

Emergency contact *

This should be somebody not travelling with you. Please provide name, phone number and an address.

Will you be accompanied by your spouse/partner? *