Costa Rica Experience - Registration Form

This form is exclusive for school administrators or teachers, ensuring that only authorized individuals engage with its contents. Upon filling out this form, the registration process and reservation arrangements are made for schools to partake in York University's programs at Las Nubes in Costa Rica. This unique opportunity promises an enriching experience for students, complementing their educational journey with hands-on learning in a captivating environment. After completing the form, you will receive confirmation of availability.

First Name *
Last Name *
Email *

Confirm Email Address *
Phone (School) Phone (School) * - ### - ### ####
I am a: *
School Name *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Trip Proposed Start Date (Preferred) Trip Proposed Start Date (Preferred) * / MM / DD YYYY
Trip Proposed Start Date (Alternate) Trip Proposed Start Date (Alternate) * / MM / DD YYYY
Number of Students (Expected) *

Note that the maximum number of students is 25
Number of Teachers/Chaperones (Expected) *
Grade(s)