Headwaters Academy Spain Trip

Adult Enrollment

Adult chaperones are welcome to join the Headwaters Academy Spain trip. Chaperones are a huge asset to the group as they provide extra eyes and ears for the students and yet are able to join in all the fun throughout the expedition. Headwaters Academy’s trip leaders will be providing you with further information regarding the roles and responsibilities for adult participants on this expedition.

Please note: There is an adult supplement fee ($500) to accommodate the separate housing throughout the trip. Chaperone housing will be at the same location as the students. Chaperone space is limited for this trip - Headwaters Academy will provide all final approvals.

Name (As shown on passport)

First Name

Last Name

Date of Birth

Gender

Phone Number

Mailing Address

Role with Headwaters Academy (Faculty, Staff, Parent, etc)

Name of son or daughter enrolled, if applicable:

Describe your travel experience (both domestic and abroad):

Do you have any training in first aid, CPR or other medical training? Please describe:

Anything else you feel would be helpful for us to know?

Emergency Contact Name:

Emergency Contact Phone Number:

Is there anything else you would like us to know about you?

T-shirt size (Adult mens and womens sizes- XS - XXL)