The Journey - FarmHouse 2017
"Men elected to our membership... give promise of service to their fellowmen, and to the world."

As FarmHouse men, we're called to render service both in our home communities, and to societies across the world. The Journey - FarmHouse is an exciting opportunity for FarmHouse men to live our values and give back in 2017. Through a partnership with the Association of Fraternal Leadership and Values and Heart to Honduras, 15 or more FarmHouse men will travel to a village in Honduras for a week of service, learning and exploration of our shared values.

Program Dates: May 20-27, 2017

Cost: $1,600 which covers all airfare, lodging, ground transportation, meals, building supplies, translators, an excursion to a tourist attraction in Honduras and insurance. Beyond the participation fee, you will also be responsible for meals on travel days and for any spending money you wish to bring. Scholarship funds are available for those who qualify.

Please understand that by completing this form, you are registering for the program and may be held financially responsible should you decide to cancel. Space is limited, and registrants will be accommodated on a first-come, first-serve basis.

Registration deadline is April 1, 2017.

Full name as it appears on your passport.
Your answer
Date of Birth
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Chapter
Email
Your answer
Phone
Your answer
Address
Your answer
City
Your answer
State/Province
Your answer
ZIP/Postal Code
Your answer
Passport Number
If you do not have a passport, you should apply for one immediately at www.state.gov
Your answer
Preferred airport
Please list airport(s) from which you would be able to travel round trip May 30-June 6.
Your answer
Academic Classification
T-Shirt Size
Please list any dietary restrictions
Your answer
Emergency Contact Name
Your answer
Emergency Contact Email
Your answer
Emergency Contact Phone
Your answer
I have spoken with my parent/guardian about this experience and they are aware I am registering.
Required
I agree to represent my chapter, my institution, and FarmHouse Fraternity in a positive light through my words and actions throughout every level of the experience (pre-experience, the actual experience, and upon my return).
Required
I will refrain from drinking and/or using any other non-prescribed drugs during my travel to/from this experience and during the actual experience itself.
Required
I am aware that the registration cost for this program is $1,600, which includes lodging, airfare, transportation, meals and program materials. I will pay all associated fees.
Required
I am aware that if I do not meet the above fee requirements, my registration may be cancelled and my spot of the trip may be given to someone else.
Required
I agree to fully participate in all pre-experience work and in all components of the experience
Required
I understand that participation in this program is voluntary. I hereby assume all risk and am participating "at my own risk."
Required
How would you describe your Spanish speaking ability?
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