Spain Trip Chaperone Info Form

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Trip Chaperones: Please complete this form by Friday, September 1st

Your First Name *

Your Last Name *

Your Personal Cell Phone Number (that you will have on the trip, investigate your providers international plan prior to the trip, you will need it). *

What is your professional background (we're especially interested in medical professionals)? *

We may tap into your professional skills on the trip, if you are willing!

Are you CPR trained? *

Yes

If needed would you be willing to provided your personal or professional experience/expertise on this trip? *

Yes

Maybe

Do you speak fluent Spanish? *

Yes

Not fluent, but have some proficiency

You'll be paired with one other chaperone on this trip. Are there any other chaperones that you know who are going that you might like to be paired with? (no guarantees) If not, just type no preference. *

Do you want to chaperone your own child? *

Are there any students you'd like to have in your group on the trip? (no guarantees except your own child) If not, just type no preference. *

Hotel Room Options *

Option 1: 2 chaperones in one room with 2 twin beds (standard and included in cost)

Option 2: 1 chaperone in a room by themselves (additional cost of $600 will be required)

Option 3: Double Room (Queen Size) for married couples (no additional cost)

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