Clone of 2026 Michigan Registration Form and Deposit

1
Student's Name* This field is required.
First Name
Last Name
2
Gender* This field is required.
Please Select
Please Select
Male
Female
3
Email of Student* This field is required.Please use your personal email address below as we are unable to send information to school addresses.
example@example.com
Email Verified
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Please check your mailbox and paste the code below to complete verification
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4
Student's Phone Number* This field is required.
Please enter a valid phone number.
5
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Current School* This field is required.Please spell correctly i.e.: James Madison High School
Please spell correctly i.e.: James Madison High School
7
Current Grade * This field is required.
Please Select
Please Select
12th
Other
8
Select T- Shirt Size * This field is required.
Please Select
Please Select
Adult XSmall
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2X
Adult 3X
9
Parent's Name* This field is required.
First Name
Last Name
10
Parent's Email* This field is required.Please double check the email address to make sure it is correct
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
11
Parent's Phone Number* This field is required.
Please enter a valid phone number.
12
My Products
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My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Processing FeeUSD
SubtotalUSD
Total costUSD
Senior Trip Deposit $200
This payment is NON-REFUNDABLE after November 13th, 2026.
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Want To Just Make A Full Payment Today? If So, Click Here: $1,100
This additional payment is not required. This option is for those who would like to complete the full payment today!
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Enter Coupon
Total cost
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
13
"I acknowledge and agree to the payment schedule outlined for the trip. I understand that the deposit of $200 is non-refundable after November 13, 2026. Furthermore, I acknowledge that failure to make payments as scheduled will result in the forfeiture of my spot on this travel experience. I am aware of, understand, and adhere to the Payment Schedule below. And I give The Motivational Foundation permission to access student academic and student conduct records, if necessary."* This field is required.Senior Trip Payment Plan: Total Cost per Student: $1,300 Registration Fee: $200 due at the time of registration Remaining Balance: $1,100 Payment Schedule: October 16, 2026 – $275 due November 13, 2026 – $275 due December 11, 2026 – $275 due January 15, 2027 – $275 FINAL PAYMENT DUE
I agree to the terms and conditions above.
14
Please verify that you are human* This field is required.
15
Invoice ID
Should be Empty: