Submit An Application- Family

PROJECT WORLD SCHOOL PERU FAMILY RETREAT APPLICATION

Hello Applicant,

We are excited to have you here! Before filling out the application below, please make sure you’ve read our entire FAQs Page here.

OK, READY?

Please submit your application with your one time $50 application fee.

Please fill out the information required to the best of your ability below. After you submit your form, you will be directed to Paypal in order to make your one time $50 non-refundable application fee payment. We will review your application and get back to you via email within a few days, and certainly no longer than one week. There is limited space for all of our learning community retreats, so if you are interested, get your application in today.

LET’S DO THIS!

Family Application

Adult 1

First Name *
Last Name *
Nickname
Birthdate
Email *
Cell Phone Number
Passport Status
I have a passport valid for 6+ months beyond the trip ending dateI don't have a passport valid for 6+ months beyond the trip ending dateN/A - I live in a South American country
Country of Citizenship
Diet:
How did you hear of us? (Name of referrer)

Adult 2

First Name
Last Name
Nickname
Birthdate
Email
Cell Phone Number
Passport Status
I have a passport valid for 6+ months beyond the trip ending dateI don't have a passport valid for 6+ months beyond the trip ending dateN/A - I live in a South American country
Country of Citizenship
Diet:

Children

First & Last Name of Child 1
Age
Diet:
Passport Status
I have a passport valid for 6+ months beyond the trip ending dateI don't have a passport valid for 6+ months beyond the trip ending dateN/A - I live in a South American country
First & Last Name of Child 2
Age
Passport Status
I have a passport valid for 6+ months beyond the trip ending dateI don't have a passport valid for 6+ months beyond the trip ending dateN/A - I live in a South American country
Diet:
First & Last Name of Child 3
Age
Passport Status
I have a passport valid for 6+ months beyond the trip ending dateI don't have a passport valid for 6+ months beyond the trip ending dateN/A - I live in a South American country
Diet:
First & Last Name of Child 4
Age
Passport Status
I have a passport valid for 6+ months beyond the trip ending dateI don't have a passport valid for 6+ months beyond the trip ending dateN/A - I live in a South American country
Diet:
First & Last Name of Child 5
Age
Passport Status
I have a passport valid for 6+ months beyond the trip ending dateI don't have a passport valid for 6+ months beyond the trip ending dateN/A - I live in a South American country
Diet:

Health Section

In the past 24 months have you or a family member been under the care of a physician, psychologist, or psychiatrist? (Ignoring routine check-ups)
YesNo
Is there any information about you or a family member's physical or mental health that might have some bearing on this trip?
YesNo
Are you or a family member currently taking any prescribed medications?
YesNo
Describe all allergies you or a family member have:
If yes to any of the questions above, please explain:

Personal Information

Choose the term that best describes your family's education.
What most excites you and your family about the prospect of attending a Project World School Family Adventure Retreat? *
What are your major interests? What do you love to do? *
Do you have any ideas for a session you can lead during the retreat?
Please share any concerns you may have regarding this retreat:
Why do you want to attend the Project World School retreat? *
Please add any pertinent additional information below:
Instructions

Please enter any two digits with no spaces (Example: 12) *
This box is for spam protection - please leave it blank