Join us in beautiful Costa Rica September 30 - October 6, 2017
APPLICATION
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2017 YOUNG WOMEN GLOBAL SUMMIT SEPTEMBER 30 - OCTOBER 6 Curridabat, San José, Costa Rica | APPLICATION:
INVESTING IN HUMAN CAPITAL | SUSTAINABLE TOURISM AND POVERTY ERADICATION
THE LEADERSHIP FORUM FOR YOUNG WOMEN
AWOW in partnership with CATIE University, FWOP University of North Texas and MIST will host A FUTURE WITHOUT POVERTY CONFERENCE in conjunction with the ANNUAL AWOW LEADERSHIP SUMMIT.

KEY DATES

September 23, 2017 | Registration Extended Deadline

Summit eight days and seven nights.

AWOW Summit - September 30 - October 6, 2017 | Curridabat, San José
FWOP Summit - October 4 - 6, 2017 | CATIE Campus - Turrialba, Costa Rica

Applicants | Young Women ages, 16 to 25 years old.

Important Travel Information to Costa Rica: http://www.costarica-embassy.org/index.php?q=node/24

International Participants (if you do not reside in Costa Rica) it is the responsibility of each participant to find out if you need a Visa to enter Costa Rica. In case that you need a visa, we recommend that you apply immediately. DO NOT WAIT UNTIL THE LAST MINUTE IF THIS APPLIES TO YOU! Once your application is received AWOW and CATIE University will provide you with an invitation letter.

A-WOW cannot make personal phone calls or requests on your behalf to specific Embassies or Consulates. Interference with the diplomatic and consular affairs by a host organization is not permissible, and reliance on such phone calls may slow your application process as well as decrease your chances of obtaining a visa. Applying to the A-WOW Young Women Leadership Summit does not guarantee that you will be granted the visa. Such decision depends on various factors determined by the Embassies or Consulates. Travel Arrangements It is the responsibility of each participant to arrange their own travel bookings (such as flight, airport transportation).


For more information email: admin@awownow.org
Contact: 214.995.1927
For more details:

REGISTRATION AND APPLICATION FEES: Make a payment
Early Bird Special ($625.00 USD before September 10, 2017

Click to make payment: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=EUJT2BQTGUDQ2

After September 10, 2017 ($700.00 USD registration fee)

Click to make payment: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=E95FULBDLSQBL

All-inclusive (lodging, meals, excursion, lectures and tours only!) Eight days and seven nights

Costa Rica: 171720.00 CRC. resident living in Costa Rica


Fees are payable via Paypal in U.S. currency only. (We Only accept MasterCard/Debit or Visa Credit/ Debit).

For Financial Support:

Registrants are invited to utilize Fund Raising that may help with self-funding efforts. Otherwise, due to the extremely high cost of organizing, the use of various facilities, insurance, and fees, no other financial support is available through A-WOW Inc. for any travel. We suggest you check local organizations and associations such as the Lions or Rotary clubs. Other delegates have found that a search through the internet, academic scholarships, local and national sources, and even friends and family relations can also be a source of subsidy and support.


For more information email: admin@awownow.org
Contact: 214.995.1927
For more details:

AWOW PRELUDE to 2017 FUTURE WITHOUT POVERTY SUMMIT
APPLICATION must be completed, signed and submitted no later than September 10, 2017.
PERSONAL INFORMATION (*Indicates the question requires and answer)
Your answer
First Name
Your answer
Last Name
Your answer
Date of birth
MM
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DD
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What name would you like printed on your name badge? (Anna, Mary, Jasmine, etc.)
Your answer
Language
Required
Participant Facebook
Your answer
Participant Instagram
Your answer
Participant cell phone number or another working contact number. (no symbols please 2149951234)
Your answer
Enter your parent or guardian's full name.
Your answer
We require a second email address as a backup.
Your answer
Participant home phone number or another working phone contact number. (no symbols please 2149951234)
Your answer
Parent Work Phone: for participants under age 19. (no symbols please 2149951234)
Your answer
Parent Cell: for participants under age 19. (no symbols please 2149951234)
Your answer
Street Address (Example: 300 East Main Street)
Your answer
City
Your answer
State
Your answer
Zip Code (Example: 75007
Your answer
Shirt size - what size T-Shirt do you wear?
How did you hear about AWOW?
Your answer
School, College, University, Tech (list the school | university | college you are attending and at what level).
Your answer
Why do you want to learn more about Leadership?
Your answer
I agree to clear my schedule and attend if selected. Space is limited. The AWOW Global Summit is life transforming, the experience is like no other! If you have a conflict such as a vacation, another summit or activity, please DO NOT complete this application.
Required
Application Deadline: September 10, 2017
In completing this form you are applying to attend the A-WOW Young Women Global Summit, a Humanitarian formation leadership program.
Travel information: I will arrive at the AWOW Summit by (choose from the list)
Required
Home country/Passport issued by
Your answer
Visas type
Your answer
Departure date from your country?
MM
/
DD
/
YYYY
Arrival Time to Costa Rica?
Time
:
Departure date from Costa Rica?
MM
/
DD
/
YYYY
Departure Time from Costa Rica?
Time
:
Airline carrier, flight number, and the names and number of people in your delegation?
Your answer
Need assistance with travel to / from San Jose, CATIE - Turrialba
Your answer
How many bags? (Airlines weigh limit varies. To avoid excessive fees, pack light and limit yourself to one large size luggage) Check with the airlines for weigh restrictions.
Your answer
What you will need to bring along - please pack accordingly.
Dress Code | Business Casual for all classroom session and summit program tours (with exception of museum tours)

List of items to bring to the Conference

Clothes | Business Casual (for an 8 - day conference)
Examples | Polo Shirts, Oxford shirts, blouses, dress, jeans, Khakis, Dockers, slacks, dress pants, skirts, and sweaters/cardigans and water resistant jacket. (Evening may be slightly cool with occasional rains).

Casual | during tours and off schedule time
Example | shorts,cropped pants, t-shirts, casual t-shirts, bathing suits, caps

Sleep Wear | (pajamas, t-shirts)

Shoes | Comfortable everyday shoes, a low heeled closed in shoe (not cloth), sneakers, flip flops...

Personal Items
Toothpaste Toothbrush
Deodorant
Feminine Items
Lotion
Mouthwash
Razors
Hair Items
Sunscreen/Sun-block
Shampoo (hair & body)
2 Towel & Wash cloths

“PLEASE BE MINDFUL OF DRESS CODE THIS IS A CONFERENCE SETTING”

For queries call (1+214.995.1927)

“Responsibility is key to effective Leadership”

RECORD OF MEDICAL HISTORY
Medicine: INDIVIDUALS UNDER AGE 18 PLEASE SUBMIT A LIST OF ALL MEDS AT CHECK IN.
Electronic Signature - Type your full name and initials. I hereby acknowledge and willfully agree that my signature provided below, serves as Parental/Guardian authorization and consent of Parental Consent for treatment of the named participant in case of an emergency during participation of AWOW held or authorized event(s)
Your answer
Participant's Doctor | Telephone
Your answer
Insurance Co. and I.D. Number
Your answer
Participant's Dentist | Telephone
Your answer
Name Medication - Reason for Medication (list NA if none)
Your answer
RECORD OF MEDICAL HISTORY (Check the following conditions you have had or are subject to):
What vaccinations and immunizations have you had?
Please list known allergies
Your answer
Do you require any special dietary considerations? Please detail:
Your answer
Are there any limitations on the amount or type of physical exercise that you can engage in? (If yes please explain)
Your answer
Check the following conditions you have/ had:
RELEASE OF LIABILITY FOR A-WOW INTERNATIONAL GIRLS LEADERSHIP INITIATIVE PARENT / GUARDIAN
I______________________________________,the Parent/Guardian of ____________________, attending The AWOW Young Women Leadership World Summit In Costa Rica, hereby acknowledge that I freely voluntarily wish my child to participate in A-WOW International Girls Leadership Initiative Mentoring and Leadership Development Program (“Activity”). In consideration for A-WOW IGLI arranging this opportunity for my child to participate, I hereby execute this Release of Liability with the intent to bind myself, my spouse (if applicable), my heirs, assigns, and legal representatives. I further state that I am at least 18 years of age and competent to sign this affirmation and release.
My child and I fully understand and agree that certain aspects of the Activity may be physically and emotionally demanding and that by my child's participation in the Activity, she faces the risk of accidental and/or other physical and/or emotional injuries. My child and I have fully investigated the nature of the Activity, including whether participants will be subjected to physical and/or emotional stresses, and my child and l understand and assume the risks of my child's participation in the Activity. My child agrees to advise the Activity Coordinators at any point when she questions her ability to participate in any part of the Activity.
I EXPRESSLY AGREE AND INTEND THAT MY CHILD'S PARTICIPATION IN THE ACTIVITY SHALL BE UNDERTAKEN BY MY CHILD AT HER OWN RISK AND THAT NEITHER AWOW INC, A-WOW IGLI, ITS TRUSTEES, OFFICERS, EMPLOYEES, AGENTS NOR ASSIGNS SHALL BE LIABLE FOR ANY INJURIES, DAMAGES, CLAIMS, DEMANDS, ACTIONS OR CAUSES OF ACTION WHATSOEVER WHICH MAY ARISE OUT OF OR IN CONNECTION WITH MY CHILD'S PARTICIPATION IN THE ACTIVITY, WHETHER FROM ACTS OF ACTIVE OR PASSIVE NEGLIGENCE ON THE PART OF MY CHILD OR ON THE PART OF A-WOW IGLI, ITS TRUSTEES, OFFICERS, EMPLOYEES, AGENTS AND ASSIGNS, AND I DO HEREBY FOREVER RELEASE, DISCHARGE, INDEMNIFY, HOLD HARMLESS AND WILL DEFEND A-WOW IGLI, ITS TRUSTEES, OFFICERS, EMPLOYEES, AGENTS AND ASSIGNS FOR ANY SUCH INJURIES, DAMAGES, CLAIMS, DEMANDS, ACTIONS, OR CAUSES OF ACTION.

The terms of this Release of Liability are to be governed by and construed under the laws of the State of Texas. In the event any term or provision of this Release of Liability is found to be unenforceable or void, in whole or in part, the term or provision concerned shall be construed as valid and enforceable to the maximum extent permitted by law, and the balance of this Release of Liability shall remain in full force and effect. I agree that exclusive venue for any dispute arising between A-WOW IGLI and me and/or my child involving this Release of Liability in any way shall be in Denton County, Texas.

Electronic Signature - Type your full name and initials. I hereby acknowledge and willfully agree that my signature provided below, serves as Parental/Guardian authorization and consent to of RELEASE OF LIABILITY FOR A-WOW INTERNATIONAL GIRLS LEADERSHIP INITIATIVE and the named participant have my consent to attend and participate in the 2017 AWOW World Summit in Costa Rica.

Parent/Guardian (Printed)_______________________________________________________________
Parent/Guardian Signature __________________________________________________________________________
Date________________________________
Payment
Registration and Application Fees: Pay Online Now to save!

All-inclusive (lodging, meals, excursion, lectures, tours and ground transportation).
Fees are payable via Paypal in U.S. currency only. (We only accept MasterCard/Debit or Visa Credit/ Debit).

Early Bird Special ($625.00 USD before September 10, 2017) a saving of $75.00
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=EUJT2BQTGUDQ2

Summit Registration ($700.00 USD after September 10, 2017) Pay Online
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=E95FULBDLSQBL

Cancellation Policy: Registration fees will be refunded only if written notice of cancellation is received by A-WOW on or before August 30, 2017. In the event of a written cancellation, 30% of the registration fee will be retained to cover administrative costs. After August 30, 2017, No refunds will be given.

In the event of unforeseen circumstances AWOW has the right to change or substitute the agenda.

A copy of your responses will be emailed to the address you provided.
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