School Name:

Group Leader's Name:

Mailing Address:

Physical Address:

Telephone: Fax:

E-mail Address:

Website:

Number of Chaperones: Chaperone Ages:

Number of Students in Group: Grade Level(s) / Age(s):

Area of Study: Language(s):

Do you support Ecotoursim? Yes No

Are you interested in volunteering during your trip? Yes No

If yes, how many days? 1 Day 2 Days 3+ Days

Travel destination(s):

Mode of transportation:
(ie: Airline, Private Coach, Public Bus, Ferry, Charter Boat, Train, Bicycle)

Primary Communication: Internet Postal

Additional information:

I understand that Global Academy is not responsible for reservations or the purchase of tickets.

Group Leader's Name: