Personal Information

Student surname (as detailed on passport): *
Student first name (as detailed on passport): *
Student current form group: *
Date of birth: *
Age at 1st April 2026 *

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 understand that it will be my responsibility to arrange and pay the $7CAN for the EtA to Canada and to check if my daughter has any additional visa requirements to enter Canada if she is travelling on a non-British passport
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 my daughter is selected the non-refundable deposit of £300 must be paid on 'My Child at School' by 25th April 2025 *
Signed (parent/carer): *

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