TEACH FOR FRIENDSHIP TOUR APPLICATION

Please print clearly and note that it is one application per person per tour.

NAME: ____________________________________
(First – Middle – Last ) As it appears on your passport)

Preferred First Name: ____________________


Date of Birth: __________________

City / State of Birth:__________________

MAILING ADDRESS:
Address ____________________________________ Apt# _________

City: ____________________________________
State: __________________
Zip: __________________

PHONE: Home(__________________ ) Work (__________________ )
E-Mail Address:______________

OCCUPATION:____________________________________ RETIRED: (Y/N)
(If retired, prior occupation/profession REQUIRED for China documents)


PASSPORT NO:__________________
WHERE ISSUED: __________________ DATE ISSUED:______________

PASSPORT DATE OF EXPIRATION:__________________
CITIZEN OF WHAT COUNTRY? __________________

Roommate: __________________

Do you have any health conditions we should be aware of, if yes, please explain:__________________ __________________

Emergency Contact: Name:__________________ Relationship: __________________
Phone: ________________


I ACKNOWLEDGE THAT THERE ARE DANGERS IN TRAVELING AND LIVING ANYWHERE. I AGREE TO TRAVEL AND PARTICIPATE AT MY OWN RISK. I AGREE TO ASSUME FULL RESPONSIBILITY FOR INJURY TO MYSELF OR MY PROPERTY. I FURTHER AGREE NOT TO SUE TEACH FOR FRIENDSHIP FOUNDATION OR ANY OF ITS AUTHORIZED ORGANIZATIONS OR AGENTS IF I SUFFER INJURY TO MYSELF OR MY PROPERTY UNLESS SAID INJURY IS CAUSED BY INTENTIONAL ACTS, GROSS MISCONDUCT OR GROSS NEGLIGENCE. (ARIZONA LAW APPLIES TO THE PERFORMANCE OF THIS AGREEMENT.)

SIGN NAME:__________________ __________________
DATE: __________________

PLEASE MAKE AND RETAIN A COPY OF THIS DOCUMENT

SEND THE ORIGINAL OF THIS DOCUMENT ALONG WITH YOUR NON-REFUNDABLE DEPOSIT OF $500  PER PERSON,  PAYBLE TO "TFF"
TO:
Nancy Lutz
2648 East 7th Street
Tucson, AZ 85716