1 Applicant Details2 Parent or Guardian Details3 Travel Insurance4 Review Your Trip5 Billing and Payment Are you registering more than 1 participant for this trip (e.g. parent chaperone or 2nd child)? If so, please follow these steps: Input participant #1’s information (Box should remain unchecked) Complete participant #1’s registration Click “Register for a new trip” Check “Yes” and input the participant #2’s information Complete participant #2’s registration Let’s cover some quick detailsTrip InformationIdentification Number*Why do we need this?ApplicantUsername*Email* Why do we need this?Name* First Name Middle Initial Last Name Participant #2 Name* Participant #2 First Name Participant #2 Middle Initial Participant #2 Last Name GenderSelectFemaleMaleParticipant #2 GenderSelectFemaleMaleDate of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Participant #2 Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are you registering more than 1 participant for this trip? If so, you will need to register participant #2 separately and click this box. Yes Address* Street Address Address Line 2 City State StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Terms and Conditions Price and Payment Information Price guarantee: The price quoted is based on the minimum number of travelers as outlined in your registration letter, subject to adjustments if the minimum is not met for the additional inclusions, or in the event of circumstances beyond Green Light Tour and Travel’s control. These include, but are not limited to fuel and energy costs and charges, and airline, vendor, or group-imposed schedule changes or delays. Additional Charges for Adults: 5% of base price for quad occupancy; 10% of base trip price for triple occupancy; 15% of base trip price for double occupancy; 30% of base price for single occupancy. By default adults are registered two to a room.Payment Plan: If you register with Green Light, you will receive a confirmation letter and statement following your registration. The statement will detail two payment options: 1) pay in full within 30 days of registration or 2) make regularly scheduled installment payments (an installment plan is scheduled by Green Light, based on your registration date, balance due, and final payment deadline). If you choose to follow the installment payment plan, Green Light charges a $5 non-refundable handling fee on each installment payment following your registration, except the initial deposit and the final payment. All programs must be paid in full by the final payment deadline as stated on your registration letter. Your program space is not guaranteed if you do not adhere to the terms o the required payment plan(s).Late Registration, Late Payment and Fees: Green Light charges a $50 late payment fee if your account is not paid in full by the final payment deadline as stated on your registration letter and a late registration charge, equal to the greater of 10% of the base trip price or $30, for registrations received after the final payment deadline. No personal checks or business checks will be accepted after the deadline. There is a $40 service charge on all returned checks. These fees are non-refundable.Program Information Letter: Approximately two to three weeks prior to departure, you will be sent details regarding flight and hotel information, departure and return times, packing tips, drop-off/pick-up locations, etc.Supervision/Behavior: The program leader and chaperones will establish behavior rules and directions for all student participants. To make the program safe and enjoyable for everyone, it is important for everyone to exhibit responsible behavior at all times. Failure to abide by the rules or the directions may result in the student being sent home at the the parents expense and waiving any right to refund. The program leaders and chaperones will be present at each site visited by the participants. At selected sites, participants may be allowed to explore on their own.I understand that participating in one or more of the GLTT trips or events (“GLTT Trips/ Events”) involves inherent potential dangers of travel posed by transportation providers, fellow participants, unrelated parties or others. As the natural or legal guardian of the minor identified below (the “Minor), I hereby: (1) represent that I have the legal capacity and authority to act for and on behalf of the Minor; (2) bind myself, the Minor and our executors, administrators, heirs, next of kin, successors and assigns to the terms of this Acknowledgment, Waiver and Release from Liability (“ANWR”); and (3) agree to indemnify and hold harmless the following: Green Light Tour and Travel, the school through which the Trip/Event is being offered, all Trip/Event sponsors and volunteers (the “Released Parties”), together with any officers, directors, employees, representatives and agents of the Released Parties, from any and all claims or liabilities relating to the Minor’s participation in the Trips/ Events. This Waiver and Release includes, the fullest extent allowed by law, any and all claims for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, theft or damage of any kind relating to the specific Trips/Events in which the Minor is participating. I hereby certify that the Minor is physically fit and able to participate in the Trips/Events he/she selects; further, I have not been instructed by any medical professional against the Minor’s participating in such activities. I hereby grant my consent to GLTT to use the name, photograph or video image of the Minor in future promotions of the Trips/Events or in such manner as GLTT, in its sole discretion, may determine and waive all rights to future compensation as a result of such use. General Policy: Reservations are not transferable at any time. Frequent flyer miles are not available to participants. Green Light Tour and Travel reserves the right to make additions or deletions in the program deemed advisable for the well-being of the group or changes in circumstances. The right is further reserved to refuse or accept any person as a member of the group. Green Light Tour and Travel does not accept responsibility for lost or stolen items.Itinerary Changes: The itinerary may be modified and inclusion and airports substituted depending on your travel dates, arrival and departure times, national holidays, and events beyond Green Light Tour and Travel’s control.* I agree to the Terms and Conditions Let's cover some quick details Who's the parent or guardian of the traveler? We'll use this person for all tour communication and in the case of emergency. This person should not be traveling (on tour or otherwise) during length of tour. Parent or GuardianFull Name*Home Phone*Cell PhoneEmergency ContactFull Name*Home Phone*Relationship to Applicant* Let’s talk about coverage Sometimes the unexpected happens and we have you covered. The Full Coverage Policy (FCP) provides a refund of all monies paid, minus the program fee and other nonrefundable fees, if it becomes necessary to cancel at any time prior to departure. With the Full Coverage Policy your investment is protected and we take care of the details.*Yes please, sign me up to protect my trip investment with the Full Coverage ProgramNo Thanks, not interestedThe program provides you a refund of all monies paid if you find it necessary to cancel at any time prior to departure for any reason Payment*Pay In FullInstallmentsYou have chosen to pay for the program in full. Don't worry, as information becomes available, we will contact you with itineraries, messages and trip updatesYou have chosen to pay in installments. Here is the payment schedule: Loading… Nearly Done!Billing Info* Same as previous Street Address Address Line 2 City State StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Credit Card* DiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name Amount Due TodayTotal Due $ 0.00 EmailThis field is for validation purposes and should be left unchanged. 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