Step 1 - General Information
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* mandatory fields
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First Program Choice*
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Second Program Choice*
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First Course Choice*
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Second Course Choice*
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How did you hear about us?* |
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Please note: If your first tour choice is not available, you will have the option
of participating on the second tour or having a full refund and not traveling.
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Student Information
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Title*
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First Name*
(as it appears in passport)
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Gender*
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Middle Name or Initial
(as it appears in passport)
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Birthdate*
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Last Name*
(as it appears in passport)
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IMPORTANT: Airlines will
not allow you to travel if the name entered above, does not match the name on
your passport EXACTLY. Please ensure that this information is correct or you
will be charged a significant name change fee.
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Address Line #1*
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Province/State*
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Address Line #2
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Country*
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City*
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Postal/Zip Code*
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Home Phone #*
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Student Email*
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Mobile Phone #
(Parent/Guardian only) |
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Confirm Student Email*
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Allergies |
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Special Requests
(Rooming/Upgrades) |
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Health Concerns
(Mobility Issues, Asthma, Mental Health Issues) |
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* It is your responsibility to inform Georgia Hardy Tours of any medical conditions that may affect you while on the tour.
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Dietary |
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* All meal requests are final at time of registration.
* Please note we are not able to accommodate Halal, Kosher or any other dietary requests (not including allergies).
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Academic Information
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Home School*
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OEN number |
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(Note: Your OEN numberis different than your student number. You will find this
on any of your past transcripts or if you call/ask your guidance department they
will have this information) |
Parent/Guardian Information
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Full Name*
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Address Line #1*
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Province/State*
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Address Line #2
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Country*
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City*
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Postal/Zip Code*
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Home Phone*
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Business Phone |
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Mobile Phone |
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Parent Email*
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Confirm Parent Email*
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Please read and understand the
Consent and Release statement*.
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Passport Information
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** Please be advised that your passport must be valid for at least 6 months after your return date.
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