About
About Us
Travel & Learning
Photos
Details
Pickup Locations
Pay Your Balance
Travel Terms & Conditions
Contact
Destinations
Cultural Hi-Ways
About
About Us
Travel & Learning
Photos
Details
Pickup Locations
Pay Your Balance
Travel Terms & Conditions
Contact
Destinations
BMCC Student Tour Information Form
Washington, DC (April 6-7, 2019)
First name
*
Last name
*
Gender
*
F
M
Street
*
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Email
*
Cell number
*
Cell number
(###)
###
####
Age
*
18
19
20
21
22
23
24
25
26
27
28
Your passport . . .
Country
*
Country issuing your passport
Afghanistan
Albania
Algeria
Angola
Antigua & Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma (Myanmar)
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China (Mainland)
Colombia
Comoros
Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel (National Passport)
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zaire
Zambia
Zimbabwe
Other
As an au pair . . .
Arrival month
*
When you arrived in the U.S.
1
2
3
4
5
6
7
8
9
10
11
12
Arrival year
*
2016
2017
2018
2019
Organization
*
What is your au pair organization?
APEX – ProAuPair
Agent Au Pair
Au Pair 4 Me
Au Pair Foundation
Au Pair In America
Au Pair International
Au Pair USA/InterExchange
AuPairCare
Cultural Care Au Pair
Cultural Homestay International
EurAuPair
Expert AuPair
Go Au Pair
GreatAuPair
International AuPair Exchange
USAuPair
Other
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 . . .
Pickup
*
Please select your preferred pickup location
New Brunswick
Penn Station
Port Authority
Stamford
White Plains
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.
How did you hear about us?
*
Email
Instagram/Facebook
Counselor/LCC
Friend
Host family
Google/Internet
Other (please explain in Additional Info box below)
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.
Thank you for submitting your tour information.