LIFE International Travel/Hosting

In the space provided, enter student's 8 digit ID number.

In the space provided enter student's last name.

In the space provided enter student's first name. No nicknames please.

In the space provided enter parent/guardian's first and last name.


In the space provided enter student's advisory room number.

In the space provided enter the name of the trip. Example: Belgrade/Serbia or China

In the space provided enter amount you are submitting for payment.

Subtotal Amount
Service Fee
Payment Amount