Community Greece Registration Form

Registration

Please fill out this form for each person registering for the trip

If you see this don't fill out this input box.

Suffix*Mr., Mrs., Ms., Miss.

First Name*

Middle Name*

Last Name*

Nickname

Gender

Female

Male

Address*

City*

State*

Zip Code*

Email*

Work phone

Cell phone*

Do you have a passport?

Yes

IMPORTANT: Please be sure and check that your passport is current AT LEAST 6 months after the end date of this trip. If it expires sooner, you must get it renewed.

Name of roomate if known

NOTE: Singe room accommodations are available at additional cost of $270. However, if you do not have a roommate at this time we can help match you with another traveler.

Agreement
I have read the information above. I realize that my reservation will not be official until after the first deposit is received. I realize that after March 1, 2019 no refunds can be provided and full payment will be required by the final due date of June 30, 2019. I acknowledge that I am aware that the cost does not include transportation to Greece and that the cost of the trip includes a $200 donation (tax deductible) to support the Study Abroad Scholarship Fund at NWACC. I further give permission to NWACC and its designees to use my photograph, video, audio recordings, or testimonials for publicity, advertising, and educational purposes in perpetuity without further consideration from me.

Agreement

I understand by checking this box it constitutes as a legal signature

Main Content Start