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Participant Information

Name

As it appears on your passport or official I.D.

Address

Please help us ensure delivery by entering your address according to your country's preferred format.
e.g.

Lucie MARTIN
Résidence le Capucines
56 RUE EMILE ZOLA
BP 90432 MONTFERRIER SUR LEZ
34092 MONTPELLIER CEDEX 5
FRANCE
          
Taro Tanaka
4-1-1 Kamikodanaka
Nakahara-ku, KAWASAKI
211-8588
JAPAN

 

Personal Information

We keep this on file for travel days. It's very important to enter the participant's cell phone, not the parent's.
If your VISIONS program requires international travel, please provide this information.
Women's sizes run small. Please order a size up if you think this may be a problem.

School Information

Program Preferences

Please list your second and third program choices. You will be notified if your first choice program is not available.


Parent / Guardian 1 Information

Primary contact and recipient of documents that require a parent / guardian signature

Provide accurate phone numbers, as this is how we contact parents if needed when programs are in session.


Parent / Guardian 2 Information