TEEN ADVENTURE TRAVEL

Apply online! Fill out the application form below. If you have any questions, give us a call! 1-866-514-0829. Our office is open 7 days a week, 9am - 5pm Pacific Time.

* required fields

Trip applying for:

Participant information

GENDER
ADULT T-SHIRT SIZE*
ARE YOU ATTENDING WITH A FRIEND?*

Student information

References

Please list two teachers we can contact.

Parent / Guardian #1 Information

Please provide the following information for the first parent or guardian.

Parent / Guardian #2 Information

Please provide the following information for the first parent or guardian.

Parents' preferred email address for communication*

Applicant lives with*

Who should receive all correspondence?*

PAYMENT PLAN

Tuition will be paid by:

How would you like to pay?*

Please provide the following information for the first parent or guardian.

How did you hear about The Wild Traveler?*

Parent or Guardian of a Minor

I, as a parent or guardian of the below named minor, believe that my child is capable of handling both the emotional and physical aspects of this trip and that he/she is enthusiastic about participating in it. I hereby give my permission for my child to participate with The Wild Traveler.

Please, complete all required fields*