Chaperones2018

Spain Trip, 2018

Chaperones Sign-up Page

Chaperone's Personal Information:

* Indicates required field

Name *

First

Last

Date of birth *

Phone Number *

School you are traveling with: *

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 we should be aware of? *

Yes No

If so, please explain *

Chaperone's Emergency Contact Information

Relationship *

Name *

First

Last

Email *

Phone Number *

Chaperones are responsible for their students':

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

School's Emergency Contact Information (to be completed by lead chaperone)

Name of the contact person in your school to be reached in case of an emergency *

Title *

Phone number *

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, 2018Chaperones Sign-up Page

Chaperone's Personal Information:

Chaperone's Health Information

Chaperone's Emergency Contact Information

Chaperones are responsible for their students':

School's Emergency Contact Information (to be completed by lead chaperone)

Terms & Conditions

Spain Trip, 2018

Chaperones Sign-up Page