Registration
Step One  ----> Step Two

APPLICATION AND AGREEMENT
Use this form ONLY if you are paying with your
own credit card or are paying with check/Money Order. Otherwise, click here.

If there is not room in the program, your
registration will not go through and your credit card
will not be charged.


Program/Location/Date
Full Name i.e. First Middle Initial Last
Address
City
State (Two Letter Abbreviation ONLY)
Zip Code
Email Address (We do not share with or sell your email to anyone)
Phone (with area code)
Fax (optional)

Date of Birth i.e. 09-15-1973

Is the volunteer under 16? If so you'll need to print out this waiver and either fax it to 214-823-0084 or mail it in.

Gender
Male Female
Card Verification Number
(On the back of your card find the last 3 digits) This step is required to prevent fradulent activity and will be verified
against the credit card number you provide on the next page
Help Finding your Card Verification Number|Using AmEx?
Do you already have a valid passport?
Yes No
 
Employer
Emergency Contact /
Phone Number
 
Where did you hear of Globe Aware?
What makes you want to take part in a Globe Aware Adventure?
Please list any special dietary needs you have, (i.e. vegetarian, allergic to nuts, etc)
Previous International Travel / Volunteering Experience:
   

Tell us a few things about yourself that your fellow volunteers may find interesting or curious, such as what your job is, how many pets you have, nickname, etc.

(past examples have included the likes of: my friends call me Purple, I have 10 dogs, I stand on one leg when I brush my teeth)
INSURANCE
Globe Aware's program fee covers mandatory medical insurance/evacuation insurance for international programs. Should you need to cancel your participation on short notice, GlobeAware suggests you purchase trip cancellation insurance, which most travel agents can help you with. It is important that you realize that Globe Aware cannot be responsible for the terms and conditions of the travel agency with whom you make your travel arrangements. Therefore, if the airline makes any changes or cancellations for any reason whatsoever, or if the airline imposes any related penalties, Globe Aware cannot be held responsible.

RISKS
Any travel comes with certain risks, and travel with Globe Aware is no different. Of course all reasonable precautions will be made to prevent any dangers. If at any time a volunteer feels that he or she is not comfortable with any given activity, he or she may freely abstain.

Travel to different countries mean that conditions will vary - - sometimes quite significantly - - from those in the United States. These reasons are some of the primary reasons volunteers are drawn to Globe Aware adventures, but can also be the basis for possible risks. For example, the condition of roads, infrastructure (such as phone lines, water lines, etc) and hygiene conditions, are likely to differ from, and often be considered inferior to, those found in the volunteers' home. In addition, Globe Aware cannot be held responsible for forces of God, war, public transportation, level of medical service, availability of medical treatment and medical personnel, political stability, and the like.

The volunteers should also be aware that environmental conditions may provide certain challenges to some. For example, higher altitudes in some locales may mean volunteers with difficulty breathing may find it even more difficult in new climes. For those with sensitivity to dryness, certain climates may be uncomfortable.

HEALTH
In some countries, it is a good idea to get vaccinations prior to your trip. The Center for Disease Control will give you up to date recommendations as well: see www.cdc.gov. These suggestions will be in your orientation packet, and volunteers are solely responsible for getting andpaying for these. In addition, each volunteer needs to access his or her medical needs, and overall health prior to joining in a Globe Aware adventure.

******************************
I, * * * * volunteer to participate in this program with Globe Aware. I understand that Globe Aware and its volunteers assume no liability for any personal harm or illness or for loss or damage of any property that may come to me while serving as a volunteer, and I, my heirs, and my personal representatives and assigns, hereby absolve Globe Aware, its staff, and volunteers and hold them harmless from any claim or demand that I, my heirs, my personal representatives or assigns might conceivably assert for any such harm, illness, loss or damage. I intend to be legally bound by this statement.


Payment Type

At this time, you will only be charged the non-refundable deposit fee of $325. Please enter the total fee amount here to acknowledge your understanding of the entire fee. (Cancellation Policy)

 
Phone - Fax - Mail - Other
If you are paying with check or money order
mail it, along with the non-refundable deposit payment of $325, to:
Globe Aware
7232 Fisher Road
Dallas, Texas 75214

or would prefer
to print this form out and fax it in, to
214-823-0084,
a customer service representative will call you back to process your order over the phone,
or call 214-823-0083 with any questions.
Credit Card

Right now you will only be charged the deposit of $325. Within 70 days of your depature date the rest of the balance will be credited to your account.

**** I agree to these terms. ****

If you do not agree please call
214-823-0083 with your questions.

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Globe Aware is a private, nonprofit 501(c)3 tax-exempt organization
 
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