Horizons Abroad Enrollment Application

Student First Name (as it appears on your passport)Student Last Name (as it appears on your passport)Which destination & session are you attending?What school do you attend?What year are you graduating?What is your birthdate?What was your most recent language class level?Please select your T-shirt sizeStudent Sex/GenderStudent EmailStudent Cell Phone NumberStudent Passport NumberStudent Passport Expiration Date How did you hear about the programs?If a teacher or friend, please indicate their name below.Parent 1 First NameParent 1 Last NameParent 1 EmailParent 1 Cell Phone NumberParent 2 First NameParent 2 Last NameParent 2 EmailParent 2 Cell Phone NumberStreet AddressCityStateZip CodeYour Language Teacher's NameLanguage Teacher EmailDo you have any specific allergies we should note?Do you have any specific accommodation preferences?Student Biography - Tell us a bit about yourself!Program Acknowledgements - To Be Completed By a ParentI understand that enrollment is not considered complete until a $1,000 deposit is paid and the program terms and conditions are signed. You will be directed to the program terms & conditions after submitting this registration form. Horizons Abroad will email parents an invoice for the deposit within the next 24 hours. Payment can securely be made by credit card, debit card, or e-check.

I understand that I am responsible for booking air-travel / flights. This is not included in the program tuition and Horizons Abroad staff is unable to book air travel on your behalf. Our staff is happy to assist with any questions regarding flights.I confirm that my child possesses the physical, emotional, and behavioral capacity to participate in a group high school student abroad program involving language immersion and homestay accommodations.

Congratulations! Your enrollment form has been submitted successfully. Please click the link below to sign our Program Terms & Conditions. Please note that enrollment is not considered complete until Terms & Conditions have been signed and your $1,000 deposit has been paid.

Click Here to Proceed to Terms & Conditions

Horizons Abroad will email parents an invoice for the deposit within the next 24 hours. All transactions are securely supported by Quickbooks Payments.
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Enroll today by completing the form below. A Horizons Abroad Program Director will confirm your submission within 24 hours and email an invoice for the $1,000 program deposit. Enrollment is confirmed once the deposit is submitted and terms and conditions are signed.

Enroll today by completing the form below.

A Horizons Abroad Program Director will confirm your submission within 24 hours and email an invoice for the $1,000 program deposit. Enrollment is confirmed once the deposit is submitted and terms and conditions are signed.