Cuba Interest Form
Event: June 13th-June 20
Location: Havana Cuba
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Email *
Name *
Telephone Number *
If you were unable to attend the orientation here are some additional videos, and resources we highly suggest you watch before completing survey:
Visit our website Here

Do you have your passport? *
Rate your interest in this Cuba Experience that we’re providing from 1-5. *
Will you be able to travel to Cuba with us? *
What would prevent you from traveling with us? Check all that apply. *
Required
List any special need accommodations you will have for this trip? *
Total Cost for Program(Full Itinerary) and Accommodations(Transportation from Airport and during trip, Meals, and lodging) Package. This does not include Flights, passports, visas, and most meals. Note!!!!Prices will vary based on total travelers, the more travelers, the less the total costs is for everyone!
How many travelers will be attending? *
Select all meals you would like to be included in your plan. *
Breakfast($8) Airbnb
Lunch($10)
Dinner($12)
None
June 14,2024
June 15th, 2024
June 16th, 2024
June 17th, 2024
June 18th, 2024
June 19th, 2024
What is your housing preference? Select All that Apply! *
Required
What is your meal plan preference? *
Please list some of your families favorite foods. *
List all if any dietary restrictions.
What would be you preferred payment option?
Payment deposit which is half of program package dues is required by December 30th. Invoices and Payment options will be sent out after your form is submitted. 
 *
Select all that Apply:
Are you willing to sponsor a child, family and instructor?
Clear selection
I want to donate to the Melanin Travelers Program
Thank you for completing your form. Someone will reach out to you shortly to complete your registration. For Questions, Comments, Suggestions, Concerns:
  • Call us at : (279)206-3033 or email director@Melanindayschoolacademy.org
A copy of your responses will be emailed to the address you provided.
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