Note: You must be 18 or older or have permission from a parent or guardian.  Under 16 must be accompanied by parent or guardian.  
Cost of excursion is $100.00 plus a $20 refundable deposit.
Please provide the following information:

Last Name, First name
Street address
City State ZIP
Phone(s)
E-mail
18 years of age or over?   Yes No
Emergency Instructions / contact:

Do you have any special needs or requests?

I am registering for the Immersion Excursion.  I understand that this is an informal group of individuals gathering together for a road-trip.  If an unforeseen event occurs such as destination being destroyed by an earthquake or terrorists, I will be refunded the portion of my registration fee that hasn't already been spent on trip expenses. I understand that if I back out of the trip, I'll lose my deposit. If I talk during the trip I may lose as much as one dollar per spoken word (but generally only one dollar per "voicing incident") from my $20 no-voice deposit. I agree to turn my voice off for the duration of the trip. In the event of personal loss (stolen items, severed limbs, etc.) I agree not to sue or otherwise seek retribution against the trip organizers. I agree to remain free from harmful drugs and alcohol during the trip and to not engage in any illegal activities. If I breach this agreement it may result in my being expelled from the trip and losing my deposit.


Copyright © 2005 ASL University. All rights reserved.
Revised: 12/04/07