2019 Teachers 2 Teachers Trip
Please fill out this trip registration form with as much information as you can. * indicates information is required. You may not have your passport or your passport number with you right now. You can provide that number when you send your trip deposit. The trip deposit of $200.00 is due April 15, 2019. It can be mailed to Helping Hands Unlimited, PO 111, Albany, IN 47320. Please call 765-730-3618 with any questions you may have.

This year we are only offering one teachers trip. The dates for that trip is June 19 - 27, 2019.

First Name *
(as it is on your passport)
Your answer
Middle Name or Initial
(as it is on your passport)
Your answer
Last Name *
(as it is on your passport)
Your answer
Date of Birth *
We need your birthdate and your passport number and expiration date to purchase your ticket and your trip/medical insurance.
MM
/
DD
/
YYYY
Passport Number *
Your answer
Passport Expiration Date *
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Your Email Address *
Your answer
Phone Number *
The easiest and most convenient to contact you
Your answer
Emergency Contact *
The name of a person to call in the event of an emergency.
Your answer
Relationship *
Your relationship with your emergency contact. Example: Husband, Wife, Mother, Father, Brother, Sister, etc.
Your answer
Frequent Flyer Information
When we purchase your ticket, we can make sure you receive the frequent flyer mileage. The final decision has not been made on which airline we will be using. If you have a number for either or both airlines, please enter that information. If you do not have frequent flyer memberships, we can still order your ticket without any problem.
American Airlines Mileage Number
Your answer
Delta Airlines Mileage Number
Your answer
Please tell us a little bit about you.
We needs some general information to get to know you better and to help us as we start making plans for the seminars.
Number of years of teaching or administrative experience
If you are not a teacher or administrator, please indicate if you are a college student, a spouse, etc.
Your answer
Grade Levels
Please mark all that apply.
Please list all subjects you are interested in presenting.
Your answer
For those who are not educators
We do encourage spouses to come along. Please tell us more about your interests and what you feel you can contribute to this trip.
Your answer
Please tell us about any restrictions or limitations you may have (such as food allergies, physical limitations, etc,) that you may have. This will help us to make sure you have an excellent trip.
Your answer
You may pay for your trip personally or maybe you want some help. We can help you with some suggestions on how to raise funds. We can also set up an online giving page where people can go to give online or they can mail their checks to Helping Hands Unlimited and the gift will go into your trip account. If you chose this option, we will provide you with access to your own management page where you can see the amount you have in your account and information and the amount individuals have given, so you can send them thank notes. Gifts for these trips through HHU are considered tax-deductible contributions no matter if you pay for your trip or if others give towards your trip. We do limit the amount you can raise to the cost of your trip. Funds raised in excess can go towards purchasing materials and supplies for the trip or the funds can be returned to the donors (the option is yours). Please select one of the following *
One last question.......How did you hear about this trip and about Helping Hands Unlimited?
Your answer
T-shirt size *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms