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Alumni

Dominican Republic Registration

  • Location: Jarabacoa, Dominican Republic
  • Dates: May 17-25, 2014
  • Organization: Students International
  • Leaders: Dr. Gregg and Tammy Chenoweth
  • Registration deadline: January 17, 2014
  • Cost: $1,995
  • Trip maximum: 40

This registration form is required for every member of the Alumni Travel Program. The following information is needed to secure plane tickets, organize work teams, and keep everyone safe and healthy throughout the travel program. This registration and non-refundable deposit are necessary to reserve your spot. The Alumni Office, Semester Abroad & Task Force (SATF) staff and College officials consider a variety of issues in evaluating the appropriateness of an individual’s participation in the travel program, and the College reserves the right to decline any registration.

If you have any questions, please contact the Alumni Office by email at Alumni@BethelCollege.edu or by phone 574.807.7619.

Personal Information
Passport Information
Emergency Contact Information
Church Information & Reference

Please list one reference from your church

Travel & Personal History
Medical Profile

Have you had any of the following conditions in the last 6 months?

Physician and Insurance
Participant Release

I understand that international travel in foreign countries carry with them significant risks.  Accordingly, in exchange for my being allowed to participate in the Bethel College (the “College”) Alumni Travel Program (the "Program"), I agree to be bound by each of the following:

Billing Information

This is my $295 non-refundable deposit to reserve my spot.

Total: $295

Enter in the Card Holder’s information.

  • ?

    Please enter your card security code, which is the 3 digit code on the back of your card (for Visa, Mastercard, and Discover), or the 4 digit code on the front (for American Express).