Registration

Traveler registration form

Registration information

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

Registration Form

Participant/Student Name (as it appears on passport)(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Please write “NA” if none.
Please write “NA” if none.
Parent/Guardian Name(Required)
Address(Required)
Person to notify if parent/guardian is unavailable(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.

Clear Signature

Student and Travel Information

Please enter a number from 1 to 14.
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
Important: If your passport expires within 6 months of your departure back home, you need to renew it.

Photo and Video Release

I grant to Costa Rican Resource the right to take photographs/videos of me to be used by CRR in their publications and or websites. The photo/videos will not be digitally manipulated to change its content, nor will my last name be used or printed. (If you are under 18yrs., a parent or guardian must sign.)

Clear Signature