Traveler Forms

Trip Signup Process & Forms

How to Sign Up For a Vacation

Complete the following documents and submit them to Special Journeys:

  1. The Traveler Application with any applicable addendums
  2. The Traveler Agreement and Release
  3. The Trip Signup Form

Documents are available in Automated and Handwritten versions.  Automated forms are designed for use ONLY on Windows/Mac computers. Cell phones, Amazon tablets and Chromebooks unfortunately will not work properly.

Submitting the Documents to Special Journeys

  • Scan and email to info@specialjourneys.org
  • Or Fax to us at 877- 934-8832
  • Or copy the documents for your records and mail to:

Special Journeys, LLC
PO Box 30256
Omaha, NE 68103

Traveler Application

Who needs to submit a Traveler Application?

  • Travelers who have never submitted an application to Special Journeys.
  • Travelers whose previous application was submitted more than five years ago.

This document gives us contact information and personal information about the traveler that we need to provide the best possible care for the traveler while we are on a trip. There are four optional addendums, which provide us with details about specific issues pertaining to the traveler. You must include all addendums that apply to the traveler.

It is essential that you fill out the application and all applicable addendums completely and accurately so we can ensure a safe and enjoyable vacation for the traveler. After we receive your application, if we require additional information, a Special Journeys team member will contact you with specific follow-up questions that must be answered before your application is considered complete.

We keep Traveler Applications on file for five years before we require a new application. If the condition of a traveler changes within that time, contact us via phone or email, and we will update our information. If an address or contact information changes, you can re-submit the first two pages of the application to us separately. Please contact us to obtain an electronic PDF form containing just the first two pages in this event.

You can download the full application with all addendums (just skip the addendums that do not apply) or download the main application by itself. If at a later time you need to complete an addendum separately those files are available upon request.

Traveler Agreement & Release Document

Who needs to submit the Traveler Agreement and Release?

  • Travelers who do not have a guardian MUST sign the Agreement & Release
  • If the traveler has a guardian, both traveler and guardian MUST sign the Agreement & Release

This document details the terms and conditions of our agreement to include the traveler on one of our trips. It is required.

Trip Signup Form

Who needs to submit a Trip Signup Form?

  • Travelers who are signing up for a specific vacation.

Use this document to sign up for a specific trip. We use the Trip Signup Form to schedule the traveler on the requested vacation and plan for the specific care they need.

Submit the completed form to Special Journeys before the trip signup deadline, which is posted along with each trip description. If you are sending a check by mail to the address above, you can also include this form. If you are mailing in the form and check a few days before the trip deadline we recommend calling or also submitting the Trip Signup form via email or fax so that we can reserve a spot for the traveler.

Trip Signup Forms

Trip Signup Form - Handwritten
Use this form to sign up for a trip(s) or to send in funds for a trip to be selected later.
Read this Form
Trip Signup Form - Automated
Use this form to sign up for a trip(s) or to send in funds for a trip to be selected later.
Read this Form
Criteria for Travel
All travelers on Special Journeys vacations must meet our Criteria for Travel.
Read this Form

Traveler Release Forms

Online Release Form for Guardian Signature
To complete the release form for the guardian online please click the link below:

Online Release Form for Traveler Signature
To complete the release form for the traveler online please click the link below:

Traveler Agreement and Release – Handwritten Form
This form can be printed to be signed by the traveler and/or guardian.
Read this Form

Traveler Application

Traveler Application – Handwritten with ALL addendums
Traveler application with all four addendums and the traveler release form
Read This Application
Traveler Application – Automated with ALL addendums
Traveler application with all four addendums
Read This Application
Traveler Application – Handwritten with NO addendums
Traveler application with the traveler release form. No addendums included.
Read This Application
Traveler Application – Automated with NO addendums
Traveler application with no addendums.
Read This Application