Cambodia Trip Registration Cambodia Service Trip Please fill out this form to register for our inspirational volunteer travel to Cambodia. 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* Month Day Year T-Shirt Size* Medical or Dietary Restrictions- Food Allergies* Passport Information*Accepted file types: jpg, png, pdf, Max. file size: 50 MB.Please upload a picture of your passport Trip DetailsCambodia Volunteer Trip* October 4-15, 2023 Trip Accommodation Preference** SINGLE ($500 Single Supplement may apply) DOUBLE TRIPLE (if available) *Trip Cost is based on double occupancy room.Roommate preference if any (name): Tell us a little about yourself- hobbies, profession, sport background, etc.*I have read and agree to the Terms and Conditions:* YES Read 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. Δ
