"The excellent preparation and detailed organizational help from the Historical Adventures staff added to the educational and entertainment value of our trip."

GENERAL INFORMATION
Name of School:PALCS—University Scholars Program
Lead Teacher:Mr. Sommar
Destination:California
Tour Dates:June 3-7, 2019
Grade: 9   10   11   12
Gender: Male   Female
Please type your full name below as it appears on your driver's license or passport because this is how it will be submitted for your airline ticket.
First Name:
Middle Name:
Last Name:
Birthdate:
How old will you be at
the time of the trip?:
Address:
City:
State:
Zip:
Home Phone:
Parent/Guardian Cell Phone:
Parent/Guardian Email Address:
PAYMENT INFORMATION
  • The cost of the trip is $1,674 per participant and students will lodge 4 per room. (Surcharge may be applied if group size isn't meant). The full amount may be paid upon registration, or the cost may be divided, six payments (an installment fee of $5 is included with each partial payment.)
  • A minimum deposit of $284 must accompany this registration form and be postmarked by October 15, 2018.
  • The last five payments will be due on November 15, 2018, December 15, 2018, January 15, 2019, February 15, 2019 and March 15, 2019.
  • Payments may be made by credit card or with a U. S. Postal Service money order or cashier's check made out to "Historical Adventures Inc." PERSONAL CHECKS and other MONEY ORDERS WILL NOT BE ACCEPTED.
  • Payments and registration information may be submitted online or mailed to:

    Historical Adventures Inc.
    360 South Camp Street, Red Lion, PA 17356

  • Registration is on a "first come, first served" basis, so students may be placed on a waiting list.
Name on Credit Card:
Billing Address:
City/State/Zip:
Credit Card #:
Card Type:
Expiration Date: / ex. mm/yy
V-Code:
(last three digits in the signature block)
100% Payment of $1,674 per student (students will lodge 4 per room)
Minimum Deposit of $284 per student (students will lodge 4 per room) (includes $279 deposit and $5 installment fee)
Other Amount (must exceed $284, and must include the $5 installment fee)
AUTOMATIC PAYMENT PLAN
Check this box if you are paying the minimum payment, using a credit/debit card, and would like to have the final five payments made automatically.
(If you check this box, four payments of $284 each will be charged to your account on November 15, 2018, December 15, 2018, January 15, 2019, February 15, 2019 and March 15, 2019.)

  • Installment payments #2, #3, #4, #5 and #6 may be made by mail or by phone (717-676-7516.)
  • Secure online payments can also be made using this form.
TRAVEL INSURANCE PLANS
Life is unpredictable. Some trips need to be cancelled. With travel insurance, travelers don't have to pay for a trip they are unable to take. The travel insurance offers plans which will allow 80-100% refunds if you need to cancel.

Please click here for additional information or to order.

If you already purchased insurance, please enter type:
and policy number:

Please check the appropriate box for the amount of your payment:
(Ordered Separately)
  Classic Classic w/ Cancel Anytime Basic Essential
Student $84 (Order) $120 (Order) $62 (Order) $52 (Order)

OR

Please initial here if you wish to decline participation in the travel insurance program. You must decline at time of registration deposit.
TOTAL PAYMENT TODAY
TERMS AND CONDITIONS
  • Release of Medical Liability: In case of emergency and a family member cannot be reached by phone, I authorize a chaperone to obtain medical attention for the participant shown.

  • Liability Disclosure: Historical Adventures Inc, and it agents act only in the capacity of agents for the passengers in all matters pertaining to hotel accommodations, sightseeing tours and transportation whether by railroad, motorcoach, car, cruise ship or plane, and as such they shall not be liable for any injury, personal injury, damage, loss, accident, delay or irregularity which may be occasioned either by reason of any company or person engaged in conveying the passenger, or in carrying out the arrangement of the tour or otherwise in connection therewith. Nor is Historical Adventures Inc. responsible for the supervision of students' activities, behavior, or medical concerns. Historical Adventures Inc. reserves the right to make substitutions of comparable quality in the itinerary where necessary. The right is also reserved to decline to accept or retain any person as a member of any party at any time.

  • Travel Insurance Program: To check out details on the different travel insurance options please go to www.allianzassistance.com.

  • Refunds: As a result of this tour having been planned and paid for far in advance, refunds will not be made. If you are unable to attend the trip and have not gotten trip insurance, contact the offices of Historical Adventures by email as soon as possible. It may be possible to replace you with someone from the waiting list.

  • Student Behavior: Students are expected to uphold all school rules and to follow the directions of their teachers and chaperones throughout the entire trip. If at any time prior to the trip an administrator or group of teachers feels that a student's behavior warrants his/her removal from the trip, it is the policy of Historical Adventures Inc. to respect that decision and remove the student from the trip without a refund.

DIGITAL SIGNATURE FOR STUDENT TRAVELERS
By checking this box, you indicate parent(s) grant permission for their child to attend the trip and indicates agreement to the "Terms & Conditions" of the tour package.

By checking this box, you indicate an agreement to follow all school rules and chaperones' directions while on the trip. It is also an acknowledgement that poor choices regarding behavior will ultimately affect his or her involvement in the trip.
 
 
   Address: 360 South Camp Street, Red Lion, PA 17356    Email: info@historicaladventures.com