Rotary Rwanda Service Registration Rotary Rwanda Service Trip Please fill out this form to register for one of our inspirational trips to Rwanda. Important: Your spot on the trip has NOT been secured until you pay your deposit. Thank you for Registering! Personal InformationName (as shown on passport)* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Date of Birth* MM DD YYYY Optional InformationPassport NumberExpiration Date MM DD YYYY Country of IssueCitizenshipTrip DetailsRwanda Volunteer Trips* July 26-August 7, 2018 Trip Accommodation Preference**SINGLE ($300 Single Supplement will apply)DOUBLETRIPLE (if available)*Trip Cost is based on double occupancy room.Roommate preference if any (name):Additional information or needs (dietary, medical, sports background, etc.)I have read and agree to the Terms and Conditions:*YESRead the Booking Terms and Conditions here.Minors: Any child 17 years or younger, not traveling with a parent or guardian is required to carry a permission letter signed by parent/guardian and notarized at time of check-in. Non-U.S. citizens should consult the consulate of host country regarding documentation required.