Geneva College



Italy Trip Registration

Complete the form below to register for the Geneva College Alumni & Friends Trip to Italy - April 26 to May 10, 2014:
(Type your name as it appears on your passport. If you do not have a passport yet, list your name as it will appear on your passport)
Date of Birth
Include City, State and Zip
Home Phone
Alternate Phone
Email *
Geneva Class Year
(If applicable)
Passport Info
U.S. Passport Number (if known)
Passport Expiration Date
*If you do not yet have a passport, please apply for one immediately. Visit for full information. If you have a passport, please forward a copy of the photo and signature pages with this application.
Additional Trip Info
Do you have any special needs or health issues?
(please describe in the box below)
Room Designation
Please Note: A limited number of double rooms are available at the Rome Campus and thus we may not be able to accommodate your request.
I desire a double room and would like to room with:
Desired Roommate:
I have read, understand, and agree to the provisions outlined in the itinerary and information materials provided by Geneva College, including the refund policy.
Today's Date
Upon submitting, you will be directed to a page with instructions on how to pay your deposit.