Personal Information

Student surname (as detailed on passport): *
Student first name (as detailed on passport): *
Student current form group: *
Date of birth: *
Age at 15th Feb 2025 *

Passport Information

Nationality *
Passport Number *
Country of Issue *
Expiry date dd/mm/yyyy


I have read and understand the letter containing the details of this trip, see below if not yet: *

INSERT COPY OF LETTER

I/we understand that my daughter must be a student at LPGS at the time of the trips departure *
I/we understand that acceptance onto the trip is a commitment to fulfilling all payments as stated in the payment schedule unless for reasons covered in the insurance policy (medical/redundancy etc). *
I/we understand that my daughter will need a valid passport with at least 6 months validity after the return date *
I understand that if selected the non-refundable deposit of £300 must be paid on Squid by 3rd June 2024 *
Signed (parent/carer): *

Please leave the next box blank or your submission will not be accepted: