Student Enrollment Form

  • GENERAL INFORMATION

  • ADDITIONAL INFORMATION

  • DD slash MM slash YYYY
  • if yes state the allergy.
  • PARENT / GUARDIAN #1

    By completing this enrollment form you agree that your are the legal parent, guardian, or custodian of the participant. The individual designated as the Parent / Guardian #1 will be the primary contact for completing any necessary forms and waivers.
  • PASSPORT INFORMATION

    Important: Passports must be valid for at least 6 months after your return. If you do not have a passport or will be renewing your passport before your trip, please skip this section for now.
  • DD slash MM slash YYYY
  • This field is for validation purposes and should be left unchanged.

TOP
Notice: fwrite(): write of 942 bytes failed with errno=122 Disk quota exceeded in /home/blitsafaris/domains/blitsafaris.com/public_html/wp-content/plugins/wordfence/vendor/wordfence/wf-waf/src/lib/storage/file.php on line 42

Fatal error: Uncaught wfWAFStorageFileException: Unable to verify temporary file contents for atomic writing. in /home/blitsafaris/domains/blitsafaris.com/public_html/wp-content/plugins/wordfence/vendor/wordfence/wf-waf/src/lib/storage/file.php:51 Stack trace: #0 /home/blitsafaris/domains/blitsafaris.com/public_html/wp-content/plugins/wordfence/vendor/wordfence/wf-waf/src/lib/storage/file.php(658): wfWAFStorageFile::atomicFilePutContents('/home/blitsafar...', '<?php exit('Acc...') #1 [internal function]: wfWAFStorageFile->saveConfig('livewaf') #2 {main} thrown in /home/blitsafaris/domains/blitsafaris.com/public_html/wp-content/plugins/wordfence/vendor/wordfence/wf-waf/src/lib/storage/file.php on line 51