Chaperones2017

Spain Trip, 2017

Chaperones Sign-up Page

Chaperone's Personal Information:

* Indicates required field

Name *

First

Last

Date of birth *

Phone Number *

Chaperone's Health Information

Do you have any allergies and/or medical conditions we should be aware of for this trip? *

Yes No

If so, please explain *

Do you regularly take any prescription medication we should be aware of for this trip? *

Yes No

If so, please explain *

Do you require any special assistance? *

Yes No

If so, please explain *

Do you have any specific dietary requirement? *

Yes No

If so, please explain *

Chaperone's Emergency Contacts Information

Relationship *

Name *

First

Last

Email *

Phone Number *

Chaperones are responsible of their own groups'.. . .

Daily Headcount
Discipline
Overseeing their students during free time
Food allergies during group meals
Direct contact with students' families

Terms & Conditions

Please, read our Terms & Conditions.

Traveler has read and agrees to the Terms and Conditions. Chaperone's School is responsible for all payments and failure to do so will result in cancellation of the trip. Spain Prep is not responsible for any losses incurred by Traveler in the event the trip is cancelled.

I acknowledge that I have read and agree to the above chaperone's responsibilities and Terms and Conditions.

Signed *

First

Last

Date *

Send

Spain Trip, 2017Chaperones Sign-up Page

Chaperone's Personal Information:

Chaperone's Health Information

Chaperone's Emergency Contacts Information

Chaperones are responsible of their own groups'.. . .

Terms & Conditions

Spain Trip, 2017

Chaperones Sign-up Page