LAS NUBES - Costa Rica Travel Details

If you have any concerns about travelling to Costa Rica for the Semester Abroad program, please consider raising them with either Ravi de Costa (Associate Dean Research & Associate Professor, HNES 139D, (416)736-2100 x 21079 (Voicemail) rdc@yorku.ca) or Josephine Zeeman (Director, Office of Student &Academic Services, HNES 137C (416)736-2100 x 66453 (Voicemail) josecamp@yorku.ca). All communications will be kept in strict confidence.

Your Information
Name * First Last
Student Number *
Must be 9 digits. Currently Entered: 0 digits.
Email *
Cell Phone * - ### - ### ####
Itinerary - Arrival
Arrival Date * / MM / DD YYYY
Arrival Time * : HH MM AM/PM
Airline *
Flight Number *
Itinerary - Departure
Departure Date * / MM / DD YYYY
Departure Time * : HH MM AM/PM
Airline *
Flight Number *
Your Plans
Your plans day by day *
Do you require arrangements for extra stay days in the corridor? *

Do you require arrangements for extra stay days in the corridor? Yes No
How many days? Specify dates. *
Other Information
Food Preferences *
Vegetarian Vegan None
Allergies
Emergency Contact
Name * First Last
Phone * - ### - ### ####
Relationship to you *

LAS NUBES - Costa Rica Travel Details

LAS NUBES - Costa Rica Travel Details

Your Information

Itinerary - Arrival

Itinerary - Departure

Your Plans

Other Information

Emergency Contact