Triskallian Tours • High School Educational Summer Travel Adventures

Section 1: Traveler Info
Session of choice:

Name of applicant as it appears on passport:

Birthdate:

Gender:

T-shirt Size:

T-shirt Color:

Home Address line 1:

Home Address line 2:

City:

State:

Zip Code:

Email:

Home Telephone:

Graduation Year:

Current School Name:

How did you learn about Triskallian Tours?

Extracurricular activities you have participated in:
Section 2: Parent Info
With whom does the applicant currently live?

Mother's Information:
Name:

Address line 1:

Address line 2:

City:

State:

Zip Code:

Occupation:

Place of Employment:

Email:

Telephone:

Father's Information:
Name:

Address line 1:

Address line 2:

City:

State:

Zip Code:

Occupation:

Place of Employment:

Email:

Telephone:
Section 3: Medical Info
Please list any past or current medical conditions
we should be made aware of:
Section 4: References
Please list two references, counselors and/or teachers who we may contact for a brief reference of yourself.

If we do not have a phone number and email addresss the acceptance process could be delayed.

Reference 1:
Name:

Email:

Telephone:

Reference 2:
Name:

Email:

Telephone:
Section 3: Personal Statement
This personal statement helps us become acquainted with our potential travelers outside of the applicant's information that is filled in throughout the beginning of our applications. We are looking for a 150-400 word personal essay that will help us get to know you better as a person and as a traveler.

Please include in your essay the reasons why you would like to join Triskallian Tours 2010 programs and also how you feel you can contribute to your groups adventure.

Compose your essay now: (or copy and paste)
Step 3 of 3
BY CLICKING THE "I ACCEPT" CHECKBOX ON THE APPLICATION PAGE, THE ENTITY YOU REPRESENT (THE "CUSTOMER") IS HEREBY AGREEING WITH Triskallian Tours LLC (hereafter Triskallian Tours) TO THE FOLLOWING TERMS OF SERVICE AND ANY TERMS INCORPORATED HEREIN BY SPECIFIC REFERENCE. Agreement: We, the undersigned, are enclosing a deposit of $500 payable to Triskallian Tours which is to be credited to applicant's tuition fee and refundable only if the application is not accepted. If this application is submitted after May 15th, it must be accompanied by payment in full which is refundable only if the application is not accepted. We have read the terms of payment described on the first page of this application as well as the terms of this agreement. We acknowledge that Triskallian Tours, its employees, share holders, affiliates, directors, successors and agents (collectively Triskallian Tours) does not own or operate any entity which is to or does provide goods or services for the trip or program we are booking, including, for example, lodging facilities of any kind, airline, vessel or other transportation companies, local guides or guide services, local ground operators, food service providers, etc. All such persons and entities are independent contractors. As a result, Triskallian Tours LLC is not liable for any negligent or willful act or failure to act of any such person or entity or of any third party. In addition and without limitations, Triskallian Tours is not responsible for any injury, loss, death, inconvenience, delay, or damage to personal property in connection with the provision of any goods or services whether resulting from, but not limited to, acts of God or force majeure, acts of war or civil unrest, insurrection or revolt, domestic or wild animals, strikes or other labor activities, athletic or sporting events or endeavors, adequacy or availability of health services and/or evacuation services if such are necessary, criminal or terrorist activities of any kind, overbooking or downgrading of accommodations, mechanical or other failure of airplanes or other means of transportation or for any failure of any transportation mechanism to arrive or depart timely. We accept all the risk attendant thereto and voluntarily accept the same as risks of my child/ward's participation in the program. My child/ward is enthusiastic and prepared and we believe he/she is capable of handling both the emotional and physical aspects of the program as well as any risks that may be involved. Furthermore, I agree that should my child/ward's conduct, at the sole discretion of Triskallian Tours LLC, be deemed to be in violation of Triskallian Tours rules or otherwise detrimental to the maintenance of standards or to the successful operation of Triskallian Tours programs, Triskallian Tours may dismiss him/her from the program. I agree that Triskallian Tour's responsibility for my child/ward ends with his/her dismissal from the program, and I understand that dismissal may occur at a location far from the child/ward's home. I agree that should my child/ward be dismissed from a Triskallian Tours program, that I will make arrangements for, bear the cost of, and provide supervision for my dismissed child/ward, even in situations that require extended international travel, and that no refund of the program fee will given for a dismissed student. There will also be no refund for students who withdraw voluntarily, or as the result of illness or accident, during a program. By signing this application, we consent to the use of photographs and film of the student and written correspondence from parents and students in Triskallian Tours promotional material. Any lawsuit filed against Triskallian Tours, its officers, agents, servants, or employees concerning this agreement or a Triskallian Tours program must be filed only in a court in Barnstable County, Massachusetts, or in the United States District Court for the District of Massachusetts, to the exclusion of any other court or jurisdiction. This agreement shall be construed and enforced in accordance with the laws of the State of Massachusetts. We have read and agree to all the terms of this agreement as well as the description of the program as stated in the above brochure.

We, traveler and parent/guardian, accept the terms and conditions.

PO Box 454 Dennis, MA 02638
(888) 333-0120
info@triskallian.com

Triskallian Tours • High School Educational Summer Travel Adventures

Mother's Information:

Father's Information:

Reference 1:

Reference 2: