La Salle

The La Salle trip is almost here! Time to complete the final traveler information.

Registration information

We’re excited to meet you in Latin America. The registration form is to help us prepare for your upcoming trip. If you have any questions regarding this form, please contact us.

Traveler details

Participant/Student Name (EXACTLY as it appears on passport)(Required)

First Last

Known allergies of student, including allergies to medicines:(Required)

Please write “NA” if none.

Any other medical problems which should be noted:(Required)

Please write “NA” if none.

Family physician name:(Required)

Family physician phone:(Required)

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

Person to notify if parent/guardian is unavailable(Required)

First Last

And their phone(Required)

I give my permission to Costa Rican Resource personnel, to seek treatment in a medical emergency for the above-named student. This includes being admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize licensed physicians, dentists, technicians or nurses to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment for the above minor.

Parent/Guardian Signature(Required)

Student and Travel Information

What is your favorite subject and why?(Required)

Have you been to Costa Rica before?(Required)

What are you most looking forward to on your trip to Costa Rica?(Required)

La Salle

Registration information

Traveler details

Student and Travel Information

Global Trails

Teachers

Students / Parents

Custom Family Itineraries

Affiliated Experiences