ACIS Participant Registration

This registration form is used in special circumstances such as late additions. If you were not directed here by Traveler Support or your Group Leader, please register here.

Fields marked with an * are required

Program Selection

Group Leader's Last Name *

Group # *

Departure Date(MM/DD/YYYY) *

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Participant Information

Last Name *

First Name *

Middle Name *

Address *

City *

State *

Zip *

Mobile Telephone *

Date of Birth(MM/DD/YYYY) *

Sex *

Male
Female

Participant Email *

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Billing/Permissions Contact Info

Required for participants under 21 years of age.

Parent/Guardian First and Last Name

Mobile Telephone

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Emergency Contact Info:

Required for all participants

First and Last Name (of someone not traveling with you) *

Relationship *

Home Telephone

Mobile Telephone *

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Rooming and Additional Options:

I would like to pay for a rooming upgrade:
I will book my own round-trip air transportation. (I will meet the group at the first hotel.)
I would like to extend my stay after the trip. (A form will be sent to you about alternate returns.)
I would like ACIS to book me from a DIFFERENT U.S. departure city than that of my group:

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Protection Plans

Protection Plans:

For more information, visit our Travel Protection page.

Protection Plans *

I select the Ultimate-Plus Protection Plan (with extra health protection and full cancel-for-any-reason coverage)
I select the Ultimate Protection Plan (with extra health protection and limited cancel-for-any-reason coverage)
I decline additional coverage at this time.

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Payment

Payment:

When your registration has been processed, you will receive a welcome email. At that time you may visit My Account to set up Automatic Payments or make your initial deposit.

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TC and Release

ACIS Terms and Conditions and ACIS Release