First name*

Last name*

Age*

Date of birth*
day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   month January February March April May June July August September October November December   Year190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Male / Female
Male
Female

Nationality*

Full address including country*

Duration*
Select duration: 1 week2 weeks3 weeks4 weeks5 weeks6 weeks7 weeks8 weeks9 weeks10 weeks11 weeks12 weeks

Phone - including country code

E-mail*

2nd E-mail

Emergency contact information (Inc. telephone) - This information will only be used in case of emergency*

Health

Relevant Skills / qualifications / experience with children

Other skills / qualifications / interests (from hairdressing to animals to carpentry)

Which volunteer project would you like to be placed in?
Select One Cusco Kids Project Flora and Fauna conservation project Other project

Duration specify dates

What is your motivation to volunteer?

What do you think your skills will bring to the project?

Which Spanish course do you want to take?
Select One Group Spanish Lessons Individual Spanish Lessons Survival Spanish Lessons

Duration specify dates.

Which Off the Tourist Track do you want to take?
Select One Machu Picchu Excursion Amazon Expedition Culinary Quest

Duration specify dates.

Which Cultural Courses do you want to take?
Select One Archeo-Astronomy Course Andean Music Courses Art Courses Quechua Lessons

Duration specify dates.

Which Accommodationdo you want to take?
Select One Home stay Hotel Hostel Lodge

Duration specify dates.

Do you want to stay with a host family? Duration?

This is your reservation form, we'll send you a conformation by e-mail----
Do you agree to contact us if you choose to cancel or change any of the information?

Agree