Student Registration & Payment Form

Traveler Information

*Name of Traveler:

*Choose one:

*School or Organization:

*Teacher/Sponsor of Trip:

*Address Line 1:

Address Line 2:

Apt. or Suite No.

*City:

*State:

*Zip Code:

*Phone:

*Destination of Trip:

*E-Mail of Parent:

*Occupancy Type

Once a rooming list is submitted,each traveler will be billed on his or her room occupancy which could increase the cost of the trip.

*Number of Travelers on this reservation

If more than 1, list below.

List Additional Travelers & Relationship to Primary Traveler:

Ex. Lee Smith - Father

Comments:

TRAVEL INSURANCE: It is highly recommended that each traveler purchase insurance. Click this link for details.

Credit/Debit Card Information

*Amount to charge today:

*Card Number:

*Name on Card:

*Expiration Month:

*Expiration Year:

*Card Brand:

By submitting this form, you are agreeing to all terms and conditions and no money is refundable or transferable.

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