PTE Participant Application Form

Participant Application Form
Connecting, Involving, Empowering
Welcome to the Peace Train Europe project! A new and innovative way to connect,
involve and empower youth in the local realities through diverse hands-on projects
whilst travelling through and experiencing the various cities that make up Europe!
*Please read the entire form and the PTE Project Guide first before filling it out. You may contact us for further
information if anything is unclear or missing from the form at peacetraineu@gmail.com
• Values Required:
- Open-Mindedness
- Flexibility and adaptability
- Readiness to act and react
- Mental and Physical Endurance
- Interdependent Capability (able to work as a team but capable of taking own initiative)
• Requirements:
• member of a Local Association
• to be of age between 16-18 years old at the start or during the project duration
• CISV experience as a participant: Participated in a Village as a JC, YM or Step-Up
• active in the Local Association
• a project in mind to bring back to the local association with a draft proposal description in the
appropriate space
Family Name
Forename
Date of Birth
CISV Chapter
Previous CISV Experience
*Dietary requirements
*Allergies
Applicant´s Email

Telephone Number
Attitudes, Skills and Knowledge to offer to
the project
Personal Reasons for participating in the
Project
Project to bring back proposal description
Applicant´s Signature
Parent/Guardian´s Signature
“Travel is fatal to prejudice, bigotry, and narrow-mindedness,
and many of our people need it sorely on these accounts. Broad,
wholesome, charitable views of men and things cannot be
acquired by vegetating in one little corner of the earth all one's
lifetime.”
- Mark Twain
1. Authorization for the participant to participate in the Peace Train Europe
I give permission for my child to travel alone to and from the project and during the project with the adult
facilitators.
2. Authorization and appointment of the adult facilitator
I hereby appoint the Adult facilitators present as the temporary guardians of the participant for purposes of
decisions regarding consent to medical treatment, providing medical prescription and safety of the participant
in the period stated above.

3. Authorization for unsupervised free movement
I give permission for my child to move freely in different settings with at least two other participants under the
condition that they are allowed by the adult facilitators in certain circumstances. It is not related to the
travelling periods wherein strict supervision is required.
4. Insurance
I hereby declare that the participant is insured with policy number with an attached photocopy of the
insurance. The insurance would cover: Medical, Financial and Pay for Damage issues.
5. Permission to use of images, art and or written work
I agree that the project requires a thorough documentation and that would mean that the participants will be
subjects and authors of various media. There will be several social media outlets running, published work in
local press, a published book in the end, and a fully edited video. The participants will be identified by first
name or nickname, age and nationality. I fully understand that since the documentation is extremely
important, I give my full permission to the use of images, art and or written work wherein the participants are
either subject or authors of.
6. Permission to partake in swimming and other water activities
I give my child permission to swim and take part in other water activities and I give the estimation of my child's
swimming abilities.
Poor Fair Good
7. Medical Disclosure
I agree to give full accurate and current medical disclosure of my child, in English with the contact details of my
child’s physician, with an attached Health document when necessary.
8. Arrival after the start of and/or early or late departure from the Peace Train Europe
The planning team and the facilitators understand that sometimes there are unavoidable conflicts in life and,
for extenuating circumstances, flexibility can be offered, so long as it does not negatively impact the trip nor
my child’s safety. It will be made sure that all delegates arrive/leave at a time that works for the trip logistics
and as close as possible to each other, timewise, to make it easier for the Peace Train Europe or local chapter
members to pick them up from or drop them off at the airport, train or bus station.
Delegates can arrive/depart a day or so early due to extenuating circumstances (i.e. a final exam) if and only if:
•they have plans for pick-up or drop-off and a homestay, if arriving early or departing late;
•it is acknowledged that neither the local association, the Peace Train Europe organizing team nor Peace Train
facilitators are responsible for your child’s welfare if they arrive early or depart late;
•pre-arrangements (including travel details, names & contact information of person with whom they are
staying, etc) have been approved by the local association’s risk manager.
9. Direct pick-up of my child to and from Peace Train Europe
The Peace Train Europe facilitators are responsible for the safety of the youth on the program from the time
the child arrives at the start destination until the child departs at the end destination. If I give written, detailed

consent ahead of time, my child can be released to the care of a responsible adult who can show governmentissued
photo identification matching the information in the written consent.
10. Termination of a participant’s role during the PTE Project
I understand that participant’s role may be terminated prematurely if the participant is unable to participate
by:
- not following the rules, endangering themselves and or others, or actively breaking rules that would
damage the Participant group atmosphere; or breaking or not following laws in the LAs that are hosting the
participant group at the moment.
- by physical or psychological health issues that would hinder their participation severely
I also understand that a rapid organization to send the participant home may be pushed through and that the
travel costs to accompany the participant home are my responsibility.
*Please do refer to the PTE Project Guide for any questions.
** Do send a digital copy of the filled form to peacetraineu@gmail.com
I hereby give my consent for my child to participate in the Peace Train Europe and agree to all the Terms
and conditions
Parent/Guardian´s Signature
Date
Place
Parent/Guardian’s Email
Parent/Guardian’s Contact Number
Applicant’s Signature