Tour Information Form (no educational credit)

New Orleans (January 18-20, 2019)

If you are not an au pair, please contact our office to request your tour information form.

First name *

Last name *

Gender *

Street *

City *

State *

Email *

Cell number *

Cell number

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Age *

Your passport . . .

Country *

Country issuing your passport

As an au pair . . .

Arrival month *

When you arrived in the U.S.

Arrival year *

Organization *

What is your au pair organization?

About your au pair counselor/LCC . . .

Counselor first *

First name of your au pair counselor/LCC

Counselor last *

Last name of your au pair counselor/LCC

Counselor email *

Your tour preferences . . .

Roommate 1

Please enter the name of a preferred roommate

Roommate 2

Roommate 3

Please check the box below if it applies to you.

I don't know anyone traveling on the tour.

Additional info

Please add any other information you'd like us to know below.

PLEASE NOTE: Your tour accommodations are based on QUAD occupancy. This means 4 guests of the same gender sharing 1 (one) room with 2 (two) double beds. Please contact our office if you would like to know the additional cost of a single, double or triple room. AS AN ADDITIONAL CHOICE, if you prefer to have a bed to yourself please use the link we'll email you about 5 weeks before the tour's start date to determine the additional cost and make your payment.

By clicking SUBMIT you confirm that you have read and accept our Travel Terms & Conditions.

You also understand that you are signing-up for the Cultural Hi-Ways TOUR ONLY. NO EDUCATIONAL CREDIT WILL BE EARNED. Please visit the Learning Across America website for details on the educational/travel courses offered by the Borough of Manhattan Community College.

After you click SUBMIT you can either pay for your tour in full or make a deposit.