Trekking For Kids, Inc.

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for your interest in joining a Trekking for Kids Expedition.
Applications are accepted on a first come, first served basis.
Space is limited! Reserve your place today:

1. Complete the Online Application
2. Pay your $100 deposit (includes a $20 non-refundable application fee).

$100

Trek Name: *

Trekker Information

First Name: *

Last Name: *

Gender: *

Cell Phone: *

E-mail: *

Yes, add me to TFK's email list.

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Phone: *

Date of Birth: *

MM/DD/YY

Age at Time of Trek: *

Is there another Trekker you wish to room with? *

If yes, Trekker Name:

T-shirt Size: *

Parent Information

Please complete if under 18 years of age

Parent First Name:

Parent Last Name:

E-mail:

A receipt will be e-mailed to this address.

Skills and Qualifications

Trades or Skills:

Interests and Hobbies:

Other Information

Transport donations? *

Can you help transport donations such as clothes, toys, etc for the orphans?

Do you have a criminal record? *

(We hate to ask, but unfortunately we must.)

Health Information

Health Issues: *

Please state any pre-existing or recent health conditions, disabilities, accidents, or surgeries. (if none, write "none")

Dietary Restrictions: *

Dietary Explanation:

Comments or Questions:

Please read and understand these policies before submitting your application to
Trekking for Kids, Inc.

Expedition Balance: The price for the Expedition, less the $100 deposit, will be due according to the payment schedule.

Wait list:  Once the Expedition is full, those applying will automatically be placed on a wait list. We will notify you if a space opens up. If your status does not change 60 days before departure, you will receive a full refund of your deposit.

 Cancellation Policy: Cancellations received before the Expedition's application deadline will be refunded any payment less a $20.00 application fee. Cancellations made after the application deadline, and up to 60 days before departure, will be refunded any payment less $100.00. Cancellations made less than 60 days before departure will receive no refund. We strongly encourage you to purchase Trip Insurance in case you need to cancel unexpectedly.

Trip Cancellation: Trekking for Kids reserves the right to cancel any trip due to any unforeseen issues, in which case, Trekking for Kids will provide a full refund. If you cancel from the Expedition, any money that has been raised will not be refunded. The money was donated to Trekking for Kids and will be used on the orphanage projects.

Intellectual Property Release: You acknowledge that you will be required to complete an Intellectual Property Release whereby you authorize Trekking For Kids, Inc., inter alia, to prepare, use, and own photographs and video recordings of your participation in any expedition organized by Trekking For Kids, Inc.

Assumption of Risk and Waiver of Liability: You acknowledge that you will be required to complete an Assumption of Risk and Liability Release Form whereby you agree, inter alia, that your volunteer participation in an expedition organized by Trekking For Kids is voluntary; that you knowingly assume all risks in connection with said expedition; and that you expressly forever release Trekking For Kids, Inc. from any claims, demands, injuries, damages, actions or causes of whatsoever for any acts of active or passive negligence on the part of Trekking For Kids, Inc.

BY CLICKING ON THIS BOX, YOU ACKNOWLEDGE THAT YOU HAVE READ AND AGREE TO THE TERMS AND CONDITIONS OF JOINING AN EXPEDITION ORGANIZED BY TREKKING FOR KIDS, INC.

Mailing Address (if different from address entered above)

Address:

City:

State/Province:

Zip/Postal Code:

Country:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *