Gold Star Teen Adventures – Travel Change Request Form

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This form must be completed for any requested changes to previously submitted travel plans.

Travel changes are not guaranteed and must be approved by our team before any modifications are made.

Submitting this form creates an official record of your request.

Email *

1. Teen Participant Full Name

2. Parent/Guardian Full Name

3. Parent/Guardian Email Address

4. Parent/Guardian Phone Number
*

5. Adventure Name

6. Originally Submitted Departure Airport

7. Original Flight Details (if booked)
(Airline, flight number, times if known)

8. Type of Change Requested

Change departure airport

Change travel dates

Change specific flight

9. Requested Change information

10. Reason for Travel Change Request
*

11. Date of Request

YYYY

12. Acknowledgment *

I understand that my request is not guaranteed, I may be responsible for any additional costs, and no changes are final until confirmed by GSTA.

Required

Agreement

I certify that I am authorized to make this request and that the information provided is accurate.

Required

Electronic Signature (Type Full Name)
*

Submit

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