Classic Packet 2011

8/2/2019 Classic Packet 2011

1/19

Australia

New ZealandPacific Challenge

Sponsored By:

Winona State University

Travel Study ProgramWinona, MN 55987

P.O. Box 1408Winona, MN 55987Phone: 507-457-2564 or 541-520-3500Website: www.pacificchallenge.orgE-mail: [email protected]


2/19


3/19

Welcome to Pacific Challenge!

A Summer DownunderEscape winter for two months amidst Australia andNew Zealands stunning mountain, forest and beachenvironments. Gain insight into Maori and Aboriginalcultures, discover some of the worlds most livablecities, and experience firsthand legendary Australasianfriendliness. Try rock climbing, white water rafting,

caving, backpacking, mountain biking, sea kayaking,dolphin swimming, scuba diving, surfing . . . and more!

No prior experience necessary Age range best suited 18-30 Non students & graduates welcome Annual program. Groups depart: January

15, 18, 21

Pacific ChallengeWe offer unique and extensively researched programs,

carefully blending exciting adventure, personal andleadership development, eco-tourism ideals, culturalimmersion and bundles of fun!

The option to combine this with up to a semester of UScollege credit gives you an unbeatable travel/studyabroad experience.

Since its inception, in 1985, Pacific Challenge has takenover 1500 students and graduates on our unique

experiential travel programs, utilizing a staff ofexperienced and qualified leaders and faculty.

CreditDuring this two month program, you are introducedwealth of information regarding the cultures, historand environments of Australia and New Zealand.

Numerous geographical excursions, incidental learnexperiences, and in-house study sessions contributethe education structure of the program.

For those students who would like to enhance thiseducational opportunity with academic credit, 15 updivision semester college credits or the equivalent iquarters, are attainable. Lower division credits canbe provided. Interested participants should indicateon their registration form. Please note that credit isoptional and incidental to this amazing adventure tr

experience.

DetailsAll accommodation, a multitude of adventure activimost food and all round-trip travel from Los Angelincluded. Each group has 18-19 participants and twleaders. We find this the optimal size for thedevelopment of supportive group dynamics,environmentally sound travel and an overall enrichiexperience for each participant.


4/19

Credit & LeadershipCredit Opportunities

Academic credit is an optional, but integral componentof this program based on the philosophy that realworld educational opportunities are often a far moreeffective way of learning than following a conventionalclassroom routine.

Credit earned during the program consists of carefullydesigned interdisciplinary subject base, carrying up to15 upper division semester hours, or the equivalent inquarter hour credits. This is primarily offered inconjunction with Winona State University (WSU),Winona, Minnesota, and grades are transferable to mostuniversities in the US.

Study interests include coursework in EnvironmentalStudies; Group Dynamics; International Tourism;Cultural Comparisons; Eco-tourism; and OutdoorLeadership. For course outlines and credit options referto pacificchallenge.org and click on Credits.

Class syllabi may be viewed on our website by Octoberof each year. Additionally, registered participants whoindicate their interest in taking classes on the registrationform will be sent the full class enrollment packet (withsyllabi and costs) by Winona State University in

October. For questions regarding WSU class syllabi andcosts, please contact Dr. Lorene Olson;[email protected]. Other credit queries should bedirected to [email protected].

Class facilitation follows this modelPre: Academic meeting; assigned readings; preparationresearch/questions.During: Research; journaling; study sessions &discussions; seminars; tests.Post: Completion of coursework; hand in paper

submissions.

It is the responsibility of each student taking credit todevelop their own work schedules throughout the trip.Program leaders assist in this. You will have access tointernet facilities and libraries to complete researchrequirements.

Please note: As academic credit is optional, tuition costsare additional to the cost of the program.

Program LeadersWeve selected a dynamic team of supportive,resourceful, experienced and highly organized peopllead our trips. They understand the importance ofbalancing the needs of individuals with groupobjectives, facilitating a high level of group cohesioinspiring a genuine appreciation for the areas visitedand a keen awareness of minimum impact travel ethThey take every opportunity to give you the time of life! Meet leaders on our website.

All our leaders are trained in wilderness or remotravel first aid, outdoor leadership, group facilitaand risk assessment/management.

Pacific Challenge and Experiential EducationWe encourage participants not only to learn theintricacies of rock climbing, backpacking, and a hosother practical outdoor skills, but also encourage grodevelopment, conflict resolution, confidence, decisiomaking, and sensitivity to the needs of others. This achieved by creating a climate of trust conducive togroup and self-reflection, giving students input intogroup tasks, facilitating feedback sessions and tailoractivities to challenge participants at their own level

Pacific Challenge programs span an ideal middleground. We take the best elements of theadventure/challenge and personal growth opportunitfound in Outward Bound and N.O.L.S. style coursesand use these alongside relevant college classes to cra valuable, rewarding and unique internationaleducational experience.


5/19


6/19

Day 26-27: DunedinA chance to explore wildlife reserveson the Otago Peninsula. RoyalAlbatross breeding grounds and severalspecies of penguins are found in thisunique, historical city.Day 28-31: NZs adventure capitalQueenstown, the birthplace of

commercial bungee jumping, is setamidst a stunning alpine lakesideenvironment. This is a town with somuch to do! Adrenaline adventuresabound, including a luge ride highabove the city. More class time withyour instructors.Day 32-33: BackpackingA trek across the Southern Alps,following the famous RouteburnTrack, through a pristine wilderness

of lakes, rivers, waterfalls, ancientforest and alpine vistas. Includes anature cruise on Milford Sound inthe Fiordland National Park, one ofthe worlds great natural wonders. Achance to see seals and cascadingwaterfalls.Day 34-36: Relax in WanakaTime out to soothe aching legs inWanaka, a welcoming lakeside town.Time to catch up on coursework or

go to the local cinema.Day 37-38: Franz JosefA welcome stop-over on our wayback to Christchurch. This lovelytown is set in the cool temperaterainforest of the west coast. Viewone of the largest Alpine Glaciers inthe Southern Hemisphere withoptional ice climbing.Day 39-40: ChristchurchA chance for last souvenir shopping,

repack and prepare for our flight toSydney.Day 41: Australia Bound!Our three hour flight fromChristchurch takes us to Australiasscenic gateway, Sydney.Day 42: Blue MountainsJump on board our buses and head toBlackheath in the heart of the BlueMountains. This ancient sandstone

plateau forms our playground for couple of days. Canyoning,climbing, and hiking form the basof our activities here.Day 43-47: CascadesA journey then takes us inlandthrough areas such as theWarrumbungle Mountains and Ne

England ranges to our 3-day stay iCascade Field Study center.Activities include whitewater raftienvironmental education andsampling Australian bush tuckerwonderful little backcountryexperience.Day 48-51: Byron BayIts off to Byron Bay, a 3-hourjourney out of the inland mountainranges to the scenic sub-tropical

community of Byron Bay. Moreclass time and a wealth of beach soutdoor activities, such as scubadiving at the very foot of the GreaBarrier Reef, learning to surf, andnumerous beach side antics.Day 52-53: BrisbaneA trip to the famous Australia Zoohome to the late Steve Irwin and hfamilyDay 54: North Coast

A delightful coastal stopover on thbeach enroute to Sydney. Beachesand sunshine!Day 55-57: SydneyA spectacular way to end this trip the beautiful city of Sydney.Activities including Harley rides,surfing, beaches, volleyball, and csites and time to plan for extension

Please note: Occasionally, minorchanges in the itinerary may occur. Wwill notify participants in advanceshould this happen


7/19

NotesProgram Cost for Jan-March 2010 is $7650

Included in costInternational flights ex-Los AngelesUS departure taxes prepaid with ticketsVisasAll travel in New Zealand and AustraliaAll program accommodationMeals (except lunches & independent dinners)Included activities

Not included in costTravel between your home and Los AngelesNZ departure taxes ($30)Lunches and 8 independent dinnersFees for optional academic creditOptional activities

Activities Included in Program Cost:In New Zealand:

Blackwater raftingWaitomoPioneer farm showWaitomoWhitewater raftingKaituna RiverMaori concert and hangiTaupoNatural hot springsTaupoDay hikeTongariro National ParkKayakingManagweka

Museum of New ZealandWellingtonSea kayaking and backpackingAbel Tasman NPDolphin swimmingKaikouraRock climbingChristchurchWhitewater kayakingPeel ForestHikingMt. Cook National ParkGlacier kayakingMt. Cook National ParkLugingQueenstownThree-day alpine trekFiordland National ParkEco-cruiseMilford Sound, Fiordland NP

In Australia:Harley Davidson Motorcycle TourSydneyHarbor and city transport passSydneyBlue Mountains filmKatoombaCanyoning or dayhikeBlue Mountains NPRainforest interpretation programDorrigo NPWhitewater raftingNymboi Binderay NPLearn to surf lessonByron BayScuba diving/snorkelingByron BayAustralia ZooBrisbane

Optional ActivitiesDuring the program there are opportunities to do extactivities. It is your responsibility to organize and pthese optional activities; however leaders may coordthese extra adventures for you. There are also extraand activities you can do that cost nothing.

Below are the approximate costs of the many popuoptional activities available.

Options in New Zealand:Absolute Adventures cavingWaitomo $160Tandem skydivingNelson $260Bungee jumpingQueenstown $140-350Heli-hiking/mountaineering$200Ice Climbing -- $150-250

Horseback riding -- $80

Options in Australia:Sydney Opera House show-- $50-100Winery tours -- $70Extra surfing -- $20Kayaking with the dolphins -- $80Hang-gliding -- $170

Extension Activities:At the conclusion of the set program, students have option to continue their adventures. Typical extensio

would include a combination of the following optionGroup leaders will provide more detailed informatioabout these extensions. Itineraries will be madeavailable closer to trip departure.

1. Travel north to the Great Barrier Reef andGreat Keppel Island. Scuba diving, snorkelinand fishing on this wonderful tropical island.One of the more popular options.

2. Travel south to the beautiful island of TasmaMore of New Zealand-like scenery and activawait you here.

3. Travel west to the sunny city of Perth in WesAustralia. In this San-Diego-like climate,students can visit wineries, go scuba diving ahike though the beautiful Kari Forests of theSouth-West region.

4. Travel inland to the real outback of Australvisiting Ayres Rock and Alice Springs. Thehome of the Australian Aboriginal.

5. Perhaps even return to New Zealand, thesplendors of which you have already sampledo even more adventure activities.


8/19

NotesLevel of Activities

No prior experience is necessary. All activities andinstruction are aimed at the novice level. However, forthose experienced in particular skills, opportunities forchallenge at your level are facilitated.

Free DaysDuring the trip, we have allotted 8 free days, reasonablyspaced (approximately one per week), in towns or citieswhere there are sufficient facilities to allow you to catchup on personal needs, laundry, resting, emails andcoursework.

Group SizeYou travel with 18-19 other participants and two leaders.Weve found this to be the optimal size for thedevelopment of supportive group dynamics, minimumimpact travel, effective planning and safety. We areusually in smaller groups for activities.

AccommodationAccommodation is diverse, comfortable and carefullychosen to fit our needs, this includes camping,comfortable youth hostels, luxury apartments, lodges,outdoor centers and indigenous dwellings.

FoodWhether a picnic, BBQ or birthday celebration, mealsare fresh, tasty, healthy and varied. Food preparation isa fun social highlight shared by all participants. Wehappily cater for vegetarians. All breakfasts and dinnersare provided, except on the 8 free days, where breakfastis provided but not your dinner. Instead we have anindependent dinner giving you the chance to sampleyour choice of the fine local cuisine. Lunches andsnacks are not provided.

TransportNew Zealand12 seater vans and trailersAustralia21 seater bus and trailer

Keeping in TouchThere is internet access in every town we visit and costis between $2-3 per hour. Low cost telephone cards arereadily available in New Zealand and Australia, and aremore economical then bringing US based phone cards(which often dont work). Phone calls cost around $.10per minute.

We have three mail collection points for each groupThe addresses and dates we receive mail at these plawill be posted on the website at a later time. Skype ibecoming a popular way to keep in touch. Go towww.skype.comfor details.

Spending MoneyPeople often enquire about the amount of spendingmoney to bring. It is difficult to assess an exact amoLast year, participants spent $2000-3000. We woulsuggest the desired amount is somewhere between thfigures. Spending money typically goes towards e-mlaundry, lunches, snacks, independent dinners, optioactivities, souvenirs and evening entertainment. Seldiscipline is obviously required with personal funds budgets are tight. Please use the following table toestimate your spending money.

Lunches, snacks &Independent dinners (approx. $10/day) $550Airport taxes approx. $30Optional activities(Refer to pg. 7)your estimate $Souvenir shopping &Entertainmentyour estimate $E-mail, telephone &

laundryyour estimate $Your budgeted spending money $

Spending money is best carried on credit and debitcards. Please check with you bank that your credit/dcards can be used in ATM machines in other countriYou will need a pin number to make withdrawals fromachines. You may also be able to make over-the-counter (non-pin) cash advances on your credit cardbanks. Bring at least two cards, in case you lose oneReplacement is very difficult.

ClimateJanuary, February and March are the best months toNew Zealand and Australia, because of their fantastisummer conditions.New Zealand Jan-Feb temperature:

Daytime average 70-90F; Nighttime average 55-65Sunrise 6:00am; Sunset 9:00pm

Australia Feb-March temperature:Daytime average 80-95F; Nighttime average 70FSunrise 5:30am; Sunset 8:00pm
http://www.skype.com/http://www.skype.com/http://www.skype.com/


9/19

NotesFlights and Airtickets

Participants will be notified by December 1st with theirconfirmed group placement and flight arrangements.Check the pre-trip portion of our website often forupdated information.

The program cost includes international flights, fromand returning to Los Angeles, and a flight fromChristchurch, New Zealand to Sydney, Australia.Participants are issued with standard group departureand return dates applicable to their group.

Airtickets are valid for 3 months, so you may extendyour time down under for up to one month after programconclusion.

Date changes to your return date can be made, once youcommence travel, subject to seat availability. Datechanges must be arranged by you through the airline,and will incur a fee of approx. $150.

Additionally, participants typically have the option toarrange a stopover in Samoa or Tonga, subject to seatavailability. This must be arranged by you though theairline after you have commenced travel and will incur afee for date and routing changes.

Although we prefer you to travel with the group, youmay arrange your own airline tickets if you notifyPacific Challenge well in advance. This will reduce yourfinal payment.

Pacific Challenge does not arrange or cover the costof date and/or routing changes to your ticket. Theseare your responsibility.

Travel Insurance

If you take WSU credits on the program, you willautomatically be charged for travel insurance. This costsaround $250. If you dont take classes through WSU,Pacific Challenge strongly recommends you take out atravel insurance policy unless you are fully covered foroverseas travel by an existing insurance policy.

Travel insurance is available from most travel agentsand insurance brokers, and usually includes the cover ofcurtailment or cancellation of travel, medical expenses,

loss or theft of personal belongings, and personalliability (approx. cost $200 for 2 months). For moreinformation please refer to the pre-trip info site whicwe update throughout the fall semester.

Passport and VisasTravel to Australia and New Zealand requires minimimmigration documentation but please read thefollowing information carefully.

A passport is necessary. If you dont already have othis should be attended to as soon as possible. Passpapplication forms are available at either your centralpost office or county courthouse. You will be requirto submit 2 passport size photographs, your birthcertificate and proof of identity (e.g. drivers licenseThe fee is approx. $50. Your passport is valid for 1years. Hopefully our program will inspire you to futravel, putting your passport to good use.

If you already hold a passport, please ensure it wnot expire before August 2010, or you will need toa new one issued.

US passport holders do not need a visa to enter NewZealand and your program leaders organize Australi

visas for you. Should you wish to stay longer than tmonths, for work or travel, special visa arrangementneed to be made. These are your responsibility.

Refer to the pre-trip info site for more flight, insuranand extension information. This site contains the moup-to-date information.www.pacificchallenge.org
http://www.pacificchallenge.org/http://www.pacificchallenge.org/http://www.pacificchallenge.org/http://www.pacificchallenge.org/


10/19

Equipment and Clothing ListThe secret to enjoyable travel is traveling light. Keep non-essential clothing and equipment to a minimum.Refer to the pre-trip info site for further gear information.www.pacificchallenge.org

Essential GearSleeping bag (compact)Sleeping pad (compact)Sleeping bag liner (can be a

sewn bedsheet)Headlamp/flashlightTravel alarm clock/watchTowels (1 regular, 1 small)Water bottleCutlery set Mug, plate, camp cooking potPocketknife (optional)Duct-tape (small roll)Small first aid kitSunglassesSunscreen Insect repellentPersonal medicationToiletries2-4 person backpacking tent*Backpacking stove* (Gas

canister or MSR/Colemanfuel type)

*At least half you group will need to bring atent and/or stove. Your program leader willcontact you and coordinate this in December.Important: You cannot fly with stove fuel orgas canisters, so please do not pack any.

Optional GearSmall travel pillowCamera/video cameraDiscman/mp3 playerA good bookRock climbing shoes/harnessDisposable contactsMusical instrument

Essential Clothing OutdoorSunhatSwimsuitQuick dry hiking/running

shortsWaterproof rain jacketWaterproof rain pantsThermal (not cotton)

underwear (long top & pants)

Warm/woolen hatWarm glovesWoolen/thermal socks (2

pairs)Fleece topFleece bottoms (optional)Sports sandals (Teva, Chaco,

etc.)Hiking boots

CasualJeans/trousers x 1Shorts x 2Shirts x 2T-shirts x 3Sweatshirt x 1Set of tidy clothing for

evenings out.

Dress shoes (minimum dresscodes are common)Socks x 4UnderwearRunning shoesFlip flops

Note: It is not uncommon to do laundryevery 7-10 days. So pack light and washregularly!

DocumentsAirline ticketsPassportTravel insurance policyPhotocopies of the above

documents x 2 (bring one and leave one set with youfamily)

Credit and debit cardsScuba card and logbook (iyou are certified)

Luggage AllocationLuggage tags are recommende

Checked luggage:1 medium/large backpack

backpacking, internal fram1 medium duffle bag (soft

frame)Cabin luggage:

1 daypack (for day hikes)


11/19

How to sign upChecklist Register for the program: Use form at back of this

packet and include your deposit.

Read additional pre-trip information on the website.This site is updated throughout the fall semester andhas the most current info.www.pacificchallenge.org

Obtain a passport: Refer to page 7 Before Nov. 1st mail second payment & forms:

Medical formWaiver formCopy of your passportUse payment slip 2 on pg. 11

Decide if you are going to take classes Before Dec. 1st mail final payment:

Use payment slip 3 on pg. 11 If taking optional credit, enroll for classes by Dec. 1

and pay tuition 3 weeks prior to trip departure

You will be notified of your group and flight details byDec. 1st. After this:Organize travel insurance (if not taking WSU

credit)Arrange your travel to Los Angeles International

AirportTalk with your group about stoves and tents

Organize spending money: Refer to pg. 6 Clothing and equipmentwish list for Santa! Get excited!

Dates

From today: Registration & depositNovember 1st: Second payment, copy of passport,

medical & waiver forms due.

December 1st: Final payment due. Course registrationdue if taking WSU credits.


12/19

Payment SchedulePayment Schedule and Conditions

Total program cost for the January-March 2010 programis $7650. Small price adjustments may occur due to thenature of the economy.

To secure your place on this program, please mail in thecompleted registration form at the end of this packetwith your deposit.

Registrations for this program are accepted year rounduntil the program is full or until December 1st,whichever comes first. Places are allocated on first toregister basis and usually fill by late October.

Booking ConditionsLate payments may result in forfeiture of your position.Please ensure payments are received by the due dates.Late payments due to financial aid disbursement or lateregistration must be cleared by the Program Director,Dr. David Wright ([email protected]).

Cancellations and refundsAt the time we receive written notice that you mustcancel your trip, the following fees may apply: From the time of your registration until 45 days

prior to departure--$200.

44 days to 30 days prior to departure--$3200 29 days or less prior to departure--$4000

If you fail to join the program, join it after its departureor leave prior to its completion, Pacific Challengereserves the right to set the amount of refund (if any).Please note that if the reason for cancellation falls withinthe terms of any travel insurance policy you hold, thenany such charge may, subject to the terms of youinsurance policy, be refunded to you by the insurancecompany.

TimelinePayment 1: Deposit $200(Accepted anytime up until program is full or Decem1st) Personal check. Due with your completedregistration form.

Payment 2: $3000, November 1st(Unless late registration) This is to be received no lathan November 1st. Cashiers Check preferred. Pleasinclude completed Medical and Waiver forms and acopy of your passport.

Payment 3: $4450, December 1st(If late registration, all other payments also due by thdate). This is to be received no later than December Cashiers check required.

Tuition Fees for optional classes.Please refer to class enrollment packet for due date acosts. These are available during October each year.

Make checks payable to: Pacific Challenge

Send all payments to: Pacific ChallengeP.O. Box 1408Winona, MN 55987

USA

TuitionAcademic credit is optional, thus tuition costs foracademic credit are additional to the total cost of theprogram. Please contact Dr. Lorene Olson, regardinWinona State University course withdrawals and tuirefunds, ([email protected]).

Financial AssistanceSome financial assistance is available in the form of

short-term deferment of a portion of your program cFor further information, or to apply, please directlycontact the Program Director, Dr. David Wright([email protected])

Other options include personal loans from eitherpersonal banks or loan companies. You can apply wor without a cosigner, a few options include: Astrive Loans (approx. 10-13% APR) Sallie Mae Loans (approx. 5-15% APR)
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]


13/19

Payment Slips- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Pacific Challenge Payment Slip 3

Please complete this and mail to the address below with your third payment of $4450, to be received no later thDecember 1st. A receipt will be e-mailed to you.

Final payment of$4450 enclosed as cashiers check. Or, if other amount &______If other amount, please state reason:

Full name of participant:

Email address:


Mail to: Pacific ChallengeP.O. Box 1408

Winona, MN 55987

- - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Pacific Challenge Payment Slip 2

Please complete this and mail with your payment of $3000, copy of your passport, and medical and waiver forto the address below, to be received no later than November 1st. A receipt will be e-mailed to you. Please checthat the following are included with this payment.

Waiver FormMedical FormCopy of PassportPayment of$3000. Or, if other amount $_______

If other amount, please state reason:

Full name of participant:

E-mail Address:


Mail to: Pacific ChallengeP.O. Box 1408

Winona, MN 55987


14/19

Blank page for double-side printing


15/19

Medical Information FormPlease complete in clear printing and return to Pacific Challenge with your second payment. For your safety and the well being of thegroup, it is imperative that you complete the following information honestly and accurately. All disclosures are confidential.

Personal Information:

Full Name: ________________________________________________________

Age: ____________ Height: ____________ Weight: ____________

In case of emergency contact:

Full Name: ___________________________________________________________________________

Address: ____________________________________________________________________________

Day Phone: _____________________________ Evening Phone: _________________________________

E-mail: _____________________________________________________________

Relationship to participant: Mother Father Other

Personal Physician or Medical Group:

Name: _______________________________________________________________

Address: _____________________________________________________________

Day Phone: ________________________ Emergency After Hours Phone: ____________________________

Please circle if you have any of the following conditions:

Respiratory problems; asthma Diabetes

Migraine headaches Claustrophobia; agoraphobia; Motion sickness

Skin Disorders Neurological problems; seizures

Muscular-skeletal problems Psychiatric conditions

Any chronic medical conditions Allergic reaction to medication

Any other allergies or illnesses Dietary restrictions or preferences

If yes to any of the above, please provide details. Please also list any other pertinent medical information that wshould know. Attach another sheet of paper if necessary.

Please detail any drugs or medication you currently take:

Have you had any first aid training? Y N What level and when?

Can you swim? Y N What level of swimming ability do you have?

I will inform the program coordinator or my program leader if any of the above information changes at any time

Signature: _______________________________________________ Date: ____________________________


16/19

Liability Waiver FormIt is very important for the success of the program and your personal enjoyment during the trip that you reaand understand the following: This is a release of liability and assumption of risk form. Please read carefullsign, and return this together with our medical information form, to Pacific Challenge with your second

payment, no later than November 1st.

This form is not designed to intimidate participants, merely to help relieve the pressure on programs like these when confronting the seriouliability issues. It should be noted that this program has been running for a number of years successfully and safely. It has been very caredesigned to cater for an adventurous spirit; it is not for hardcore high risk takers. The program leaders are all trained in first aid andexperienced in outdoor and group leadership. Leaders will take all reasonable care during the execution and supervision of each activity.Please also note that this program is not covered under university insurance and the program director carries only basic public liabilitycoverage.

It is strongly recommended that all participants take out a travel insurance policy, to cover the possibility of lost luggage, theft, accidental incidental sickness, travel curtailment and cancellation. Health care in Australia and New Zealand is of high quality and is offered relativinexpensively to foreign travelers. The bottom line is to expect a pleasantly adventurous, safe and enjoyable look at Australia and New Zewith leaders who will take all reasonable care.

Release of Liability and Assumption of Risk AgreementI am aware that during the trip in which I am participating under the arrangements of the organizers and their employees, agents, associateand contractors, I may be subjecting myself to risks, dangers, and hazards which could result in losses, illness, injury or death. I recognizesuch risk, dangers, and hazards may be present at any time during the trip.

In consideration for and as part payment for the right to participate in the trip and the associated activities and services arranged by theorganizers and their employees, agents, associates and contractors, I do hereby fully assume all risks of losses, illness, injury and death anfurther, I do hereby release and discharge the organizers for any and all losses, damage, illness or injury resulting from my participation intrip and the associated activities and services.

As well, I agree that I will not sue the organizers, their employees, agents, associates or contractors for any losses or damages incurred as consequence of my participation in the trip and the associated activities and services caused by the negligent or other acts of the organizer

their employees, agents, associates or contractors.

I agree that the above obligations shall be binding upon me personally, as well as upon my heirs, executors, administrators, and all membemy family.

I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and an assumption of risagreement between me and the organizers and their employees, agents, associates and contractors. I sign this agreement of my own free wafter having been advised that I am free to obtain independent advice on it.

Please note: Signing this form also acknowledges reading and understanding of the booking conditions on pg. 12.

Participant signature: _____________________________________________________ Date: _________________

Printed name: ___________________________________________________________Parent/Guardian signature: _________________________________________________ Date: ________________

Printed name: ___________________________________________________________

(If over 21 and not on parents insurance2 witnesses may sign)

Witness 1Name & signature: _______________________________________________________ Date: ________________

Witness 2Name & signature: _______________________________________________________ Date: ________________


17/19

Australia/New Zealand RegistrationPlease complete both sides of this form fully and legibly.

Tape a recent full face photo here >>>>>>>>>>>>>>Full name as shown on passport (no abbreviated names):

Last: ___________________________________________ Attach Photo Here

First: _____________________ Middle: _______________

Age: _________ Gender: _______ Birthdate: (mm/dd/yy) _____________

Current address: __________________________________________________________________________________________________________(If applicable)

E-mail address: _________________________________________________

Current phone: ______________________ Cell phone: _____________________

Permanent home address: _____________________________________________

__________________________________________________________________

Home phone: ________________________ Social Security: _____________________

Name of primary parent or guardian you will be liaising with regarding this program:

__________________________________________________________________

Phone: ___________________________

E-Mail address: __________________________________________________________

Are you a vegetarian? Y N Are you a certified open water scuba diver? Y NIf yes, please bring your card and logbook.

Students only, please complete:Name of college/university: ______________________________________ School ID: ______________________

Year you expect to graduate: _______________________ Are you interested in WSU credit? Y N

If not a student, please complete:Occupation: _________________________________________________________

Title: ______________________________________________________________

Employer: ___________________________________________________________


18/19

Australia/New Zealand RegistrationIndicate which Program Year you are registering for. Program departing January:

2010 2011 2012

If you would like to be on the same trip as a friend, please write their name here:

How did you discover Pacific Challenge? www.studyabroad.com www.goabroad.com Search Engine

Flyer Presentation PC Employee Word of Mouth Other

Briefly explain why you would like to participate on this program and detail your travel experience:

Enclose your registration, the deposit of $200,as a personal or cashiers check. An e-mail receipt and confirmatof your acceptance into the program will be forwarded upon payment.


Mail this form with your deposit to: Pacific ChallengeP.O. Box 1408Winona, MN 55987

By mailing this registration, you will begin the adventure of a lifetime. Welcome to Pacific Challenge!


19/19