Registration
Registration
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Registration

If you are traveling with a student group, please fill out this form with the information of one traveler. If you are a parent registering on behalf of a student, please choose High School or Middle School Student from the first dropdown menu. If you are registering more than one traveler (for example a parent and a student, both going on the trip) please repeat the registration process for each traveler.

If you are traveling with a non-student group, select Adult Traveler. You can add up to four other group members on the same registration.

Join As :
Email Address* :
Password* :
Confirm Password* :
First Name* :
Middle Name :
Last Name* :
Date of Birth* :
Ex. (mm/dd/yyyy)
Gender :
Street Address*:
City* :
State* :
Zip Code *:
Cell Phone :
Ex. (415) 777-1234
Name of student you'll be traveling with* :
Relationship :
 
School Name* :
 
School City* :
Choose Program* :
Referring Trip Leader or Guide* :
 
Home Phone *:
Ex. (415) 777-1234


Parent/Legal Guardian 1

Name* :
Relationship :
 
Cell Phone* :
Ex. (415) 777-1234
Email Address* :

Parent/Legal Guardian 2

Name :
Relationship :
 
Cell Phone :
Ex. (415) 777-1234
Email Address :
Special diet needs :
Special diet needs :


Family Member 1

First Name :
Middle Name :
Last Name :
Date of Birth :
Ex. (mm/dd/yyyy)
Cell Phone:
Ex. (415) 777-1234
Email Address :
Special diet needs :

Family Member 2

First Name :
Middle Name :
Last Name :
Date of Birth :
Ex. (mm/dd/yyyy)
Cell Phone:
Ex. (415) 777-1234
Email Address :
Special diet needs :

Family Member 3

First Name :
Middle Name :
Last Name :
Date of Birth :
Ex. (mm/dd/yyyy)
Cell Phone:
Ex. (415) 777-1234
Email Address :
Special diet needs :

Family Member 4

First Name :
Middle Name :
Last Name :
Date of Birth :
Ex. (mm/dd/yyyy)
Cell Phone:
Ex. (415) 777-1234
Email Address :
Special diet needs :