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Application Form - Wolverine International Tour

Tour to Michigan, USA - ..................................................

Please print or type

Student Name (last) ..................................................... (first) ......................................... (initial)...

(Nickname) .....................................................................

Home Address...........................................................................................................................................

.................................................................................................................................................................

Country ...................................................................... Postcode/Zip .......................................................

Telephone ..................................................................... Fax ..................................................................

E-mail ......................................................................................................................................................

Present School/College Attending ...........................................................................................................

Grade/Year (Next September)............................................ Present Age ..................................................

T-shirt Size (Adult Sizes): * small * medium * large * extra large

Terms:

1. I hereby give Wolverine International and Wolverine Camps permission to use any pictures in which the photograph / video of me (of my son / daughter in the case of parent or guardian) appears in it's booklets or other advertising.
2. I enclose with this application a deposit of 100 + insurance premium.
3. I hereby confirm that I have read the Booking Conditions and acknowledge that the balance of the account is payable 12 weeks before Tour departure or if less than 12 weeks, full payment with application.
4. Wolverine International reserves the right to remove any person from the Tour who is deemed to be detrimental to the successful and happy operation at Wolverine Camps and other external activities. In the event of such suspension or dismissal, or in the case of voluntary withdrawal, I agree (the parent or guardian agrees) no part of the Tour price shall be refunded or remitted and any additional costs involved, including transportation home, will be at my expense (at the expense of the parent or guardian).

Signed________________________________________ (Parent or Guardian if under 18 yrs of age)

Return to:

Wolverine International
17, Higgs Lane, Bagshot, Surrey, GU19 5DP, England, UK
Tel/Fax: + 44 (0) 1276 472814
E-mail:
Enquiries

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