Please complete the form below to register for the Harborside Spain trip. All submissions will be reviewed by the Trip Leaders at Harborside School for final admission onto the trip.

Student Name (As shown on passport)

First Middle Last

Student Email Address

Student Phone Number

Student Date of Birth

Student Age At Time of Travel (January 2024)

Gender (As shown on passport)

Guardian Name

Guardian Phone Number

Guardian Email Address

Mailing Address

Emergency Contact Name

Emergency Contact Relationship To Student

Emergency Contact Phone Number (If different than guardian listed above)

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