Group Travel Registration Form

Domestic Group Travel Registration Form NEW

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.

After you hit SUBMIT, please scroll down to the bottom of the page to be sure the form was submitted successfully.