Domestic Group Travel Registration Form

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

"*" indicates required fields

Studio Trip*

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)

Gender Identity*

Gender for airlines that require a binary selection

Male

Female

Date of Birth*

Mobile Number*

CCNY Email*

Enter Email Confirm Email

Hotel Roommate Name(s) - required for students

Please list who you will be rooming with, as this information is required when booking.

Emergency Contact Name*

Emergency Contact Relationship*

For example, "mother"

Emergency Contact Tel.*