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Complete both the medical consent and student code of conduct form and send them to Educational Student Tours along with your completed registration form. Include a $200 non-refundable deposit. Please print the pre-departure check list for yourself.
Mail or fax your registration forms to:
Educational Student Tours, 16850 Gresham Street, North Hills, CA 91343

       
    

Today's Date

Male   Female

 

Select which
tour you want:

Tour A Tour B
 

Beginning Date of Selected Tour

 

Student Name

 

 Address

 

 City

State 

Zip 

 

 

 

  Home Phone

Cell Phone

 
 

Name of Parent

 
Email Address
 
High School
 

How did you find out about the tours?

    Payment Amount  
   
Deposit $200      
Payment (Student) $476 Payment (Adult) $535
Pay in full (Student) $1,628 Pay in full (Adult) $1,805
    Payment Information  
 

 

Check Credit Card  
 

Credit Card #

 
 
Expiration Date:
/  
CSC:
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