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Wilfrid Laurier University Waterloo Lutheran Seminary
April 23, 2014
 
 
Canadian Excellence

Forms


Waterloo Lutheran Seminary

Study Tour to Germany Application Form


Before you complete the application form please review the Study Tour information page, the proposed itinerary and fees and additional information.

The registration deadline is March 7, 2014.

 
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I am *:
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Do you smoke?*:
Do you have any allergies?*:
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Any physical challenges?*:
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Any emotional challenges?*:
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Do you have any dietary restrictions?*:
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Are you currently under a physician's care?*:
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Are you able to climb stairs (sometimes many) without assistance and to walk at a modest pace for a mile at a time?*:
Do you require a personal attendant or caregiver?*:
Please note: Participants requiring a personal attendant or caregiver will be required to pay the full non-student fee for attendant/caregiver. Single supplement will apply if the attendant/caregiver requires a single room.
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Are you adaptable to simple living accommodations and dormitory-style living?*:
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I understand that I am responsible for all costs associated with my participation in this mission trip*:
Financial Aid may be available to eligible registered students. Check here if you would be interested in Financial Aid Information.:
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Please read and check the box below to agree to the following agreement. By signing this application, the applicant named above confirms his/her participation in this scheduled tour, and that he/she is: Responsible for any personal travel documentation and medical coverage for international travel and tour activities for the duration of the scheduled stay in Germany. Registered students are required to enrol in the insurance arranged by WLS. Responsible for travel to and from Toronto airport. Responsible for any other costs that he/she may incur beyond those specified in this application, such as single occupancy surcharges, telephone and e-mail use, pharmacy or medical needs and services, personal travel (e.g., taxis), airline fuel surcharges if any, beverages, most lunches, telephone and other personal communication charges, and personal purchases. Responsible for all fees by the required deadlines. For the full tour period within Germany, the total cost per person (including air) is $4000.00 for registered WLS students and $4500.00 for continuing education students and non-students. This includes airport transfers in Germany to/from your accommodations, transportation for scheduled tour activities, *double-occupancy accommodations and meals as indicated, entrance fees to all sites, honoraria to guest speakers, group tour visiting donations to churches and agencies, taxes, and gratuities to drivers and other services providers, maps, and the tour information and services packet. *Limited single supplement available at an additional cost. Please request. Responsible for obtaining and providing proof of medical, cancellation and other appropriate insurance coverage for this trip if the participant is a not a WLS registered student. Required to participate in the meetings, reflection sessions, and travel with the group at all times during the Study Tour. Responsible for all pre-readings and/or advance assignments as may be required before the Study Tour begins as well as readings and assignments as may be required after the Study Tour concludes if the participant is registered in to take the Study Tour for academic credit or continuing education. The syllabus will be made available in advance of the Tour in adequate time to allow for pre-readings. Responsible for payment of academic tuition to Wilfrid Laurier University if a WLS registered student. When agreeing and submitting this application, you understand that this application does not guarantee acceptance to this Study Tour. Upon approval you will receive conformation by e-mail, at which time you will be required to fill out an, Agreement and Release of Liability for Germany Study Tour, form that will be printed, signed, and submitted with the participants copy of passport, proof of insurance and a deposit of $300.00 NOTE: An amount of $100.00 is non-refundable if cancelling participation unless a replacement is accepted by the agency for the cancelled place. Organizers reserve the right to change, cancel, or postpone the scheduled programs at any time in the event that political circumstances or other developments may so require. If the tour is cancelled by the organizers, a full refund is provided. Waiver of responsibility of the organizers. It is understood and agreed that Waterloo Lutheran Seminary, Wilfrid Laurier University, and the cooperating agencies and service companies or individuals shall not be responsible for any reclamation on the part of the Study Tour participants in the event of personal injury of financial loss, or any inconvenience resulting from the trip, its activities, or its postponement, alteration, or cancellation. As a participant in this tour and agreement of this Registration Form, you affirm that you have read and understood the Canadian Government Travel Report for Germany at this website: http://www.voyage.gc.ca. Waterloo Lutheran Seminary reserves the right to cancel, alter the itinerary, or restrict participation due to health, safety or security concerns. I have read, fully understand, and accept the terms and conditions outlined for this tour, and wish to register.
Check box if you agree to the statement above*:
 
 

updated February 21/14