ACEUMSL 2019 contact and logistical information
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Hola todos! Please provide us with the following information so we can help you prepare for your trip to Guatemala. The information you provide via this form will go directly to our email address, info@nursingheart.org. This information will not be shared with any outside parties. Muchas gracias!
First Name *
Last Name *
Date of birth *
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What is your school email address? *
What is an alternative (non-school) email address? *
Cell phone number *
Please provide the name of an emergency contact, their phone number, and their relationship to you. *
Please download WhatsApp to your smartphone and share your phone number with your group leader. For information about WhatsApp, please click here: https://drive.google.com/file/d/0B3Ak2PGQL2_GS0tHUndvREhMdmM/view?usp=sharing. Thank you for helping us occasionally communicate with you in the 2-3 weeks leading up to your trip, and while you are here! *
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Passport Number (required by hotels) *
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Do you have any dietary restrictions/food allergies? *
If you answered yes above, what are they?
Do you have any allergies to medications or similar? *
If you answered yes above, what are they?
How would you characterize your Spanish proficiency? (Responses confidential, any level is perfectly OK!) *
For our trip to Finca Filadelfia on January 13, would you prefer to zipline or tour the coffee farm? *
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MUCHAS GRACIAS for your help! We are looking forward to seeing you soon.
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