GSC

CAS Trips Global Student Conference Checkout
Select GSC Trip*
Gender*
Name*

First NameLast Name
School Name*
Country of School*
Nationality of Participant*
Passport Number*
Date of Birth*

MonthDayYear
Date
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email Contact*
example@example.com
Student Email Contact*
example@example.com
Student Cell Number*

Country CodeArea CodePhone Number
Medical Conditions and/or Allergies
Dietary Requirements (e.g. Halal, vegetarian, vegan, kosher, etc.)
Emergency Contact Phone Number*

Country CodeArea CodePhone Number

Checkout

Payment in full ($1125 + 3.5% processing fee)$1,164.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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