1. Triton Travel Club
Contact Information and Survey
________________________________________________ ____________ ______________
Student Name Year of Graduation Birthday
________________________________________________, ___________________, _____, _________
Address Town St zip
________________________________________________ ____________________________________
Parent/Guardian Name Home Phone
________________________________________________ ____________________________________
Parent/Guardian e-mail Parent/Guardian Cell Phone or Work Phone
Will you be enrolling your student on the tour? Yes No
Why or Why not? ______________________________________________________________
What other countries/places would you like to see the travel club offer trips to? Check all
that apply:
Argentina
Austria
Australia
Britain
California
Cambodia
Chicago
China
Costa Rica
Denmark
Ecuador
Egypt
England
France
Germany
The Grand Canyon
Greece
Hawaii
India
Ireland
Italy
Japan
Mexico
Netherlands
New Zealand
Peru
Portugal
Puerto Rico
Russia
Scandinavia
Scotland
South Africa
The South Pacific
Spain
Switzerland
Thailand
Turkey
Vietnam
Wales
Washington D.C.
Other: _______________________________________________________________________