Online Registration Request (For NON-Registered, New Travelers ONLY)

Registered Users: To make a payment toward your account - please close this window and click on 'Client Login'
What year will you be traveling?
Name of School you are traveling with:
Legal First Name:
Middle Name/Initial:
Last Name:
(Name must match EXACTLY the ID that will be carried while on tour)
Mailing Address:
City:
Country:
Cell Phone Number:
Alternate Phone Number:
Date of Birth:
// (mm/dd/year)
Email:
Secondary Email:
(Wheelchair access, etc.)
Yes, I would like to enroll in the "Full Refund Program". Please add the program cost outlined in the terms and conditions to your registration deposit if you select this program.
Non-Refundable Trip Deposit (This amount MUST match the deposit amount listed on the trip flier): $
Payment Method:

I HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS OF THIS TOUR PARTICIPANT AGREEMENT. I ACKNOWLEDGE THAT I HAVE MADE ALL DISCLOSURES IN ACCORDANCE WITH §16.
Electronic Signature
By submitting this form, you are signing this Reservation Agreement electronically and agree your electronic signature is the legal equivalent of your manual signature. By submitting this form you consent to be legally bound by the terms and conditions. You further agree that your use of a key pad, mouse or other device to select a travel component that you are authorizing USA Grad Night via Online transaction to charge based on the terms for any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and USA Grad Night. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement. You further agree that each use of your E-Signature in obtaining a USA Grad Night Travel component/ service constitutes your agreement to be bound by the terms and conditions of the Program Terms & Conditions as they exist on the date of your E-Signature.
E-Signature: 
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USA Student Travel 5080 Robert J Mathews Parkway, El Dorado Hills, CA 95762. 916-939-6805
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