DEMC 2027 HBCU Tour Student Registration

1
Payment and tour details: The total tour price is $795 per scholar. The family contribution is $200, and the district contribution is $595. The $40 registration deposit is credited toward the $200 family contribution, leaving four additional $40 payments ($160 remaining). Payment schedule: $40 due at registration, $40 due November 15, 2026, $40 due December 15, 2026, $40 due January 15, 2027, and $40 due February 15, 2027. Exact spring break travel dates are still forthcoming.
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Student Name* This field is required.
First Name
Last Name
3
Gender* This field is required.
Male
Female
4
Date of Birth* This field is required.
Date
Month
Day
Year
5
Student's Personal EmailPlease use your personal email address below as we are unable to send information to school addresses.
example@example.com
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6
Student's Phone Number* This field is required.
Please enter a valid phone number.
7
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
8
Current Grade * This field is required.
Please Select
Please Select
6th
7th
8th
9th
10th
11th
12th
Other
9
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
10
Parent or Legal Guardian Name* This field is required.
First Name
Last Name
11
Secondary Parent Name (Optional)
First Name
Last Name
12
Parent's Email* This field is required.
example@example.com
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Please check your mailbox and paste the code below to complete verification
••••
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Receiving the email may take a few minutes, thank you for your patience!
13
Secondary Parent Email (Optional)
example@example.com
Email Verified
Confirm Email
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!
14
Parent Phone Number* This field is required.
Please enter a valid phone number.
15
Secondary Parent Phone Number (Optional)
Please enter a valid phone number.
16
Registration Deposit — $40* This field is required.
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ORDER SUMMARY
Total costUSD
DEMC 2027 Registration Deposit
Required online Square payment for registration. This is the first of five $40 payments toward the $200 family contribution. The total tour cost is $795 per scholar; DEMC covers the remaining $595. Pay $40 with registration and four further $40 installments ($160 remaining).
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