Passport and Insurance Info

NOTE: I now have 20 deposits for the 2019 Trip. At this point I will take names of interested students and will offer you a spot in September, if any of those who have paid choose to withdraw.

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* 1. Your First Name

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* 2. Family Name

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* 3. Your Birth Date

Date

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* 4. Gender

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* 5. Your student number

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* 6. Your Grade NOW

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* 7. Your e-mail (Make sure it one you check regularly

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