Class Travel Application

Fill out the travel application form below and press submit to complete Phase 1 of your class trip application

WARNING: INFORMATION MAY NOT BE SAVED IF YOU NAVIGATE AWAY FROM THIS PAGE OR REFRESH THIS PAGE.

You will need the following at hand to complete this form successfully:

Medical insurance information
Your Passport
Full address and contact information for parents
Full address and contact information for emergency contact

If you have any questions about filling out this form, please contact us.

High School Class Trip Application

Please fill out this application in its entirety and submit. You are required to make a $450 non-refundable deposit with the submission of your application (which will be applied against your total trip cost).

What school are you traveling with?*
Who is the teacher you are traveling with?*
Student Information
Student Full Name*
First Last
Student Phone*
Student Email*
Student Sex*
Date of Birth*
Address*
Street Address City State ZIP Code
Mother/Guardian Information
Full Name*
First Last
Relation to Student*
Cell Phone*
Email*
Does Mother/Guardian live at same address as student?*
- Yes
- No
Mother/Guardian's Address*
Street Address City State ZIP Code
Father/Guardian Information
Full Name*
First Last
Relation to Student*
Cell Phone*
Email*
Does Father/Guardian live at same address as student?*
- Yes
- No
Father/Guardian's Address*
Street Address City State ZIP Code
Emergency Contact Information (not Parent/Guardian)
Full Name*
First Last
Relation to Student*
Email*
Cell Phone*
Address*
Street Address City State ZIP Code
Passport Information
Name Exactly as on Passport
First Last
Passport Number
Is this passport issued by the United States of America?
- Yes
- No
Country of Issue
Date of Issue
Please enter this date as it is on your passport: Day, Month, Year
Date of Expiration
Please enter this date as it is on your passport: Day, Month, Year
Medical Information
Primary Care Physician*
Phone Number*
Medical Insurance Carrier*
Policy Number*
Health Conditions
Please list and describe all health conditions that student has. This information is kept confidential, but is useful in case of emergency.
Allergies
Please list any and all allergies to food, insects, medications, etc
Special Dietary Needs
Please list all special food requirements that student has.
Host Family Information
Do you prefer a family with or without children?*
- With Children
- Without Children
- Doesn't matter
Do you need any special accommodations at your host family?*
Spanish Language Experience
Your program may or may not be focused on Spanish language acquisition. Regardless, we'd like to know about your Spanish skills to make sure that guides and other people you'll be interacting with in Costa Rica are able to provide your group the highest level of service possible.
Oral Comprehension*
Speaking Proficiency*
Reading Comprehension*
Writing Ability*
Briefly Describe your Spanish experience*
Please include number of years of Spanish in high school, any related foreign travel, etc.

Class Travel Application

High School Class Trip Application

Student Information

Mother/Guardian Information

Father/Guardian Information

Emergency Contact Information (not Parent/Guardian)

Passport Information

Medical Information

Host Family Information

Spanish Language Experience

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