Please provide the following passport information. This information is entered into your airline and certain workshop reservations on your behalf.
By completing a Global Action trip, you automatically qualify for the Universities Award from this trip. UCAS advise students to include this Award on your UCAS Personal Statement or CV to enhance your application.
Details of student's parent(s) or guardian(s) to whom all correspondence will be addressed.
We will need details of two different people to contact regarding the trip. The second person can be a parent, family member or friend (and would only be contacted in an emergency).
Please provide details of a next of kin who will be our contacts to communicate with in case of emergency during the trip dates. Only complete if details are different to the above.
It is a condition of booking with Global Action Limited that you must disclose to us in writing any physical or mental condition for which you are currently taking prescribed medication, or if you have visited a medical practitioner in the past 12 months. Your failure to do so may result in your trip being cancelled without refund.
Please ensure you comply with the insurance medical warranty and disclose ALL DEFINED pre-existing medical conditions to ensure you have full travel insurance protection. For full details of definitions, and how to disclose a condition to the insurers, please see pages 8-9 of the full Policy Document. Your failure to disclose a defined pre-existing medical condition may result in a claim being reduced or declined.
Please note that the School and Global Action Limited reserve the right to request a report from your General or other Medical Practitioner on your suitability for the trip.
Please indicate if the student has ever had, or continues to have any of the following medical conditions.
The Global Action Leaders and Ground Partners may take photos of the trip for Global Action Ltd to use on our website and other marketing materials.
Confirm you have completed the form