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1st Timer Form
2nd Timer Form
Adult & Leader Form
Summer
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Second Timer Form
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Indicates required field
Student Name as it appears [will appear] on your passport
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First
Last
middle name [enter N/A if you don't have one]
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Birth Date
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Phone Number
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Other Phone Number
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Phone Type
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Cell
Home
Parent
School
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Other Phone Type
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Cell
Home
Parent
Grade
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Own a valid passport for trip dates?
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Yes
No
Applied - waiting
Parent/Guardian you live with
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First
Last
Best phone number to reach them
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Vegetarian
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Yes
No
T-shirt size
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X-small
Small
Medium
Large
X-Large
Email
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Speak Spanish?
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None - like Mike Saltarelli
enough to get by - like Sue Ann
pretty well - lots of spanish classes
fluent - teacher or lived there
Meetings each month are mandatory. Will you be at them?
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Yes, they will be a top priority
No, I am not free Sunday afternoons
Maybe
Why do you want to go back to El Salvador?
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What did you learn from the last time you went? Has anything stuck with you?
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How do you hope to grow spiritually and emotionally on this trip?
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Allergies?
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Submit