Group Travel Registration Form

Domestic Group Travel Registration Form

Students and faculty planning to participate in overnight group trips should complete this form.

"*" indicates required fields

Studio Trip*

Legal Name*

(As it appears on your passport/government-issued photo ID)

First Last

Middle Name (if applicable)

(As it appears on your passport/government-issued photo ID)

EMPLID*

Gender Identity*

Gender for airlines that require a binary selection

Male

Female

Date of Birth*

Mobile Number*

CCNY Email*

Enter Email Confirm Email

Hotel Preference

Please specify if you have a roommate request for the hotel. Each student will have their own bed.

Emergency Contact Name*

Emergency Contact Relationship*

For example, "mother"

Emergency Contact Tel.*

Notes

Please make a note of anything we should be aware of when booking the trip.