Inspiring Places & Practices Study Groups Registration

Full Name as it Appears (or will appear) on your Passport

Study Groups Currently Open for Registration.

Reggio Emilia/North Central Italy, May 12-18, 2024 ($3900 until Feb 29)

Fano/Adriatic Coast Italy, May 19-25, 2024 ($3900 until Feb 29)

Full 2-Week Study Group to Both North Central and Adriatic Coast Italy, May 12-25, 2024 ($5900 until Feb 29)

Email for Billing

Home Mailing Address for Welcome Packet

Cell Phone Number

Passport Number (leave blank if passport is pending)

Birth Month/Day/Year (for Travel Health Ins)

Emergency Contact Name

Emergency Contact Phone

If you have a MiRegistry #, What is It?

Do you want/need Michigan SCHECH credit?

Are you traveling with another Inspiring Places & Practices Participant that you would like to indicate as your roommate? If so, who?

What allergies or special accommodations should we be aware of during our travels? (please know that we will do our best to accommodate any requirements but are limited by what is available at each location)

Please check ALL that apply so that we can send you an invoice:(required)

I would like to pay in full

I would like to make a $575 deposit + monthly payments beginning in March

I will pay by check ($100 discount applied to final payment))

I will pay by credit card (Stripe)

I will pay by Venmo @cozy-flourish

I will pay by PayPal

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