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Hawaii Tour
​registration
HAWAII TOUR REGISTRATION
*
Indicates required field
Name
*
First
Last
Student/Participant Email
*
Student/Participant Gender
*
Male
Female
Student/Participant Date of Birth
*
Student/Participant Passport Number
*
Student/Participant Home Country
*
Student/Participant Cell Phone
*
Please select which is of the following applies to you:
*
I am an ETC exchange student
I am not an ETC student but am an exchange student with a different sponsor
I am a host sibling
Host Parent
*
First
Last
Host Family Address
*
Line 1
Line 2
City
State
Zip Code
Country
Host Family Phone Number
*
Student/Participant Home Country Address
*
Line 1
Line 2
City
State
Zip Code
Country
Student/Participant Natural Parent 1 Name
*
First
Last
Student/Participant Natural Parent 2 Name
*
First
Last
Natural Parent Email Address
*
Home Country Phone Number
*
Do you have allergies?
*
Yes
No
If yes, allergic to what?
*
Do you take medications?
*
Yes
No
If yes, which medications?
*
Do you have dietary restrictions?
*
Yes
No
If yes, what are they?
*
Do you know how to swim?
*
Yes
No
Roommate Preference
*
Do you agree to the Terms & Conditions of the Hawaii tour
*
Yes
Submit