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Opportunities: Kenya
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Schedule: Kenya
Schedule: Peru
KENYA
Capture Kenya
Pastoralist Girl Child Community Education
Experience Education
Experience Art
Teaching Journey
Rural Relaxation
Special Opportunities
Program Fee: Kenya
Program Fee: Peru
General Information
Application Form
Liability Waiver
Permission for Minor
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Application Form
Date:________________
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________________________________________ Address
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________________________ Fax
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_____________________________________ Address 2
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________________________ Email |
_____________________________________ City ------------------State---------- Zip
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________________________ Date of Birth
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_______________________________________________ Signature
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_________________ Date
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Journey Country: __________________
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| Journey Dates: _________________ |
Journey Name(if any):__________________________ |
| Total Due: ___________________________ |
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| Amount of Deposit_____________________ |
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Please print and mail to:
Expanding Opportunities 84 Payson Road Brooks, Me 04921
You may pay the fee with Cash, Check, Visa, MasterCard, or PayPal Fill out the following if you are paying by Credit Card.
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