Guided Tour Registration & Medical History

Guided Tour Registration & Medical History

Please be sure to complete all pages of this form below for your upcoming Program with International Field Studies. Allow up to 20 minutes to complete.
Personal Information
First Name*
Last Name*
Which Guided Tour are you participating in?*

Kayaking The Exumas
Home Street Address*
City*
State*
Postal/ Zip Code*
Country*
E-mail*
example@example.com
Phone Number*
Date of Birth*

MonthDayYear
Gender*
How did you hear about this program?*

Flight Information
If the IFS office has contacted you with the go-ahead to purhcase your plane tickets, please include the information below. If not, skip this section and be sure to email us (office@intlfieldstudies.org) once you have your itinerary.
Arrival Flight Time

:HourMinutesAM/PM Option
Arrival Flight Number
Arrival Flight Airline
Arrival Flight Date

MonthDayYear
Date
Departure Flight Time

:HourMinutesAM/PM Option
Departure Flight Number
Departure Flight Airline
Departure Flight Date

MonthDayYear
Date

Consent
INDIVIDUAL PHOTOGRAPHY AND VIDEOGRAPHY CONSENT: I consent to the taking and use of any photographs, video and/or recorded interview of myself/child during the program for advertising, promotion, publicity and any other lawful purpose by International Field Studies, Inc. now and in the future, whether that use be known or unknown to me, for the purpose of illustration or publication in any form. I waive any right to inspect or approve the photographs or electronic matter and waive any right to royalties or other compensation arising from or related to the use of this media.*

I consentI do not consent
OPT-IN TO INTERNATIONAL FIELD STUDIES, INC. EMAIL LIST: I would like to receive emails from International Field Studies, Inc. Emails may include future Alumni event news, a monthly newsletter, and IFS events. I understand that I may opt out of receiving emails at any time.*

I consentI do not consent

Signature
Thank you for completing our Registration & Medical History form! Please complete all other forms as soon as possible. Remember to email our office (office@intlfieldstudies.org) with your flight information.
By signing below, I certify this form was completed by me and all information is correct.*
Should be Empty:

Personal Information