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Student Volunteer
Airline & Medical Information

The information provided on this form is extremely important. It is used to purchase airline tickets and is used in the event of a medical emergency. 

If you provide Shirts Across America with inaccurate information, you may incur additional airline ticketing costs/charges.

Student Volunteer Information
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First Name
Last Name

The name your teachers call you.
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Email that will receive confirmation of this form submission.
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Best phone number to reach Student Volunteer.
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(mm/dd/yyyy)
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This is what is indicated on your identification or passport.
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Medical Information
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We will pass all dietary restrictions/information to the kitchen staff at our partnering accommodations, but not all dietary restrictions are able to be accommodated. Individuals with less common or multiple dietary restrictions should plan to pack or buy supplemental food while in New Orleans.
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Emergency Contact Information
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First Name
Last Name
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*

First Name
Last Name


Helpful information includes location of travel, additional contact information if destination is abroad, etc.