2018 Fall Break Trip

Do you attend an ISI Home Group? The Fall Break Trip is for students that are currently involved in an ISI Home Group.*

yesno

Which Home Group do you attend?*

Your Name*

First NameLast Name

Email*

example@example.com

Phone Number

Area CodePhone Number

Gender*

MaleFemale

In Case of Emergency, Contact: (include Name, Email, Phone, Relationship to you)*

Can ISI use photos of you taken on this event?*

YesNo

Are there any foods you can NOT eat due to health restrictions or religion?

Do you have any health problems we should be aware of?

Do you have any allergies?

What is one unknown fact about yourself? (For a game we will be playing)*

Release of Liability Statement and Hold Harmless Agreement for International Students, Inc.(ISI) Sponsored Event/Activity: In appreciation and consideration of ISI affording me the opportunity to participate in this event/activity (2024 Fall Break Trip to Grand Canyon) I agree that I participate in these events/activities solely at my own risk. I waive, release and agree to hold harmless ISI, its agents, employees and volunteers from any and all property damage, personal injury or other claims of whatever nature made by myself or others related to my participating in this event/activity. Please type your name in the box below to signify agreement to the above statement. This serves as your electronic signature.*

Total Trip cost is $100. $60 Deposit is required to hold your spot. The deposit is non-refundable. Final payment is due by Oct 4. Payment instructions will be sent after you register.

Fall Break, Oct 11-13 Grand Canyon