REGISTER HERE

By registering for School Leaders C.A.R.E., I waive all liability of Lappin Foundation and the hosts/program partners of the program, and all other participants for any injury suffered by me or my family. (Please note that this question needs to be answered "YES" to participate in the program)*
YesNo

First name as it appears or will appear on your passport*

Last name as it appears or will appear on your passport*

Gender (for airline tickets)*

Street Address*

City*

State*

Zip code*

Email*

Cell Number*

Name of school district*

Your role in the school district*

Passport number, if you have one

Date of expiration of your passport

Name of emergency contact*

Cell number of your emergency contact*

Relationship*

Known Traveler Number for TSA Pre-Check, if you have one

Global Entry Number, if you have one

Special dietary requirements (enter NA if none)*

Allergies (food, environmental, medicine - enter NA if none)*

Seat preference for flights, not guaranteed, but will be requested
AisleMiddleWindow

I understand the program requirements and I will fulfill them, barring an emergency.
Yes

I grant to Lappin Foundation, its representatives, and employees the right to take photographs of me in connection with School Leaders C.A.R.E. I authorize Lappin Foundation, its assignees, and transferees to copyright, use, and publish the same in print and/or electronically. I agree that Lappin Foundation may use such photographs of me with or without my name and for any lawful purpose, including such purposes as publicity, illustration, advertising, and Web content. I waive any right to royalties or other compensation arising from or related to the use of the photographs taken of me.
YesNo

I understand it is my responsibility to purchase travel insurance.
Yes

Is there anything you would like us to know about you regarding traveling abroad?

Please email a copy of the picture page of your passport to dcoltin@lappinfoundation.org.

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