• Image field 139
  • To apply for enrollment, please fill out all required boxes. After pressing "Submit," you'll be directed to pay the $40 application fee using any major credit card.

  • Participant Information

  • Participant Birthdate*
     - -
  • Passport Status*
  • Passport Expiration Date
     - -
  • Citizenship*

  • Primary Adult Contact Information

  • This parent or guardian is our primary contact for enrollment, billing, and emergencies.

  • Second Adult Contact Information

  • This parent, guardian, or other adult is our backup contact.

  • Health Questions

  • Is the participant, or has the participant in the past 24 months been under the care of a physician, psychologist, or psychiatrist? (Ignore routine care.)*
  • Is there any information about the participant’s physical or mental health that might have some bearing on their participation in the trip?*
  • Is the participant currently taking any prescribed medications?*
  • Diet:*

  • Are you vaccinated for Covid-19?

  • Participant Questions

  • Please answer the following three questions with 1-2 detailed paragraphs each.

  • Which term best describes your current mode of education?*

  • Can you independently navigate small cities and large airports?*
  • Can you wake yourself up at a certain time if necessary? Can you keep track of time on your own?*
  • May we add you to the UA email notification list?*
  • Privacy Policy

    We will only use this application information for contacting the participant and parents/guardians concerning enrollment, billing, or emergencies. We respect your privacy and will never sell your information to third parties.
  • When you are ready to apply, please click "Submit." We will follow-up with you by email within 48 hours.

  • Should be Empty: