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Explore Peru Teen Travel Reservation

Parent and/or Guardian Name *
Parent and/or Guardian Name
Parent and/or Guardian Phone Number *
Parent and/or Guardian Phone Number
Best for contact about trip reservation and updates.
Student's Name *
Student's Name
List the name (as it appears on passport), passport number, and date of birth. If you don't have a passport yet please say so in the box below.
Date of Birth
Date of Birth
Pertinent medical history and/or conditions (allergies). This is an initial intake assessment, a more detailed questionnaire will be given after your reservation is complete. If "none" please state "none."
Parent and/or Guardian Consent *
You must be the parent or legal guardian to register someone under 18 years old. By checking "Yes" below and submitting this form you certify your consent for registration.