Student Application Form

Please select one of the trip options*

Option 1: ECUADOR June 24th – July 7th 2019. Trip cost $2798
Option 2: ECUADOR + GALAPAGOS ISLANDS June 24th – July 14th 2019. Add an additional $1680 to option 1 for the extended trip

Trip cost does not include Airfare to Florda or a small Fuel Surcharge & Departure Tax. Don't forget to mail your $48 application fee to Big World Ventures PO Box 703203 Tulsa, OK 74170.

Trip Information

Full Legal Name: (As on your passport)*

Name as you want it on your name tag:*

Select T-shirt size: (100% cotton Unisex Adult Tees)*

Personal Information

Birth date:*

MM

DD

YYYY

Age at start of trip:*

Sex:*

Female
Male

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone*

(###)###-####

Cell Phone

To receive text updates for trip.

Emergency Phone Number 1*

Emergency Phone Number 2

Email*

Parent’s email:*

If you have a Facebook page, please provide your facebook user name:

And add neverthesamemissions on your FB to receive important group updates.

If you have a Twitter account, please provide your twitter name:

And add neverthesamemissionbwv on twitter to receive important group updates.

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Trip Information

Personal Information

Team Information

Permission