COLLEGE TOUR REGISTRATION FORM
Student Name
*
First Name
Last Name
M/F
Age
*
DOB
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home/Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Legal Guardian Name
*
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
School Name
*
Grade
Cumulative GPA
STUDENT FEES
Total Trip Cost is $900
Non-Refundable deposit $200.00 is required to reserve a spot on the tour
Total trip fee must be paid no later than last meeting of March 15, 2025
Fee covers air transportation, lodging and bus transportation
Fee does NOT cover cost of all meals and incidentals. Some meals, incidentals and spending costs are the responsibility of the student and family
Student Signature
*
Date
*
-
Month
-
Day
Year
Date
Parent/Guardian Signature
*
Date
*
-
Month
-
Day
Year
Date
Students Picture ID
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Insurance Card(s)
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