Borderlands Alternative Break Trek

HGSCF Borderlands Alternative Spring Break Trek
14-20 March 2020

We are glad that you want to join us! Please fill out the information below and hit submit at the bottom. The deadline for this application is Friday, February 14th.

First Name *

Last Name *

If registering for a married couple, spouse's name:

School (current or alum affiliation): *

Address 1 *

Address 2

City *

State *

Postal Code *

Phone Number *

Email Address *

Receive Mass Email? *

Please check here if we can send trip related information to the email address above.

The cost for the Borderlands Alternative Spring Break Trek is still being determined. However, in addition to airfare to San Diego (around $800 ±) the main expenses will be for food, lodging and local transportation. My best guess on this additional amount is $500/person. Of course, you may want to bring additional money for souvenirs and gifts. :)

Why are you interested in this trip? (A few sentences is fine.) *

Have you been on a trip like this before? Please provide some details. *

What are some of your skills or experiences that might be helpful? *

Special needs (including allergies, medical conditions, medications, food requirements): *

If you are an International Student/Professor do you have a valid passport that is not close to expiration and a visa that allows you to exit and reenter the US? *

If you are a US citizen, do you have a valid passport that is not close to expiration? *

Is there anything else we should know about your application? *

Emergency contact name: *

Emergency contact number: *

Health insurance provider: *

If you have any questions, contact Jeff Barneson <jeff_barmeson@harvard.edu> or your InterVarsity campus staffworker.

PLEASE CLICK SUBMIT below in order to finalize your registration.