PTE Participant Application Form

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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
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PTE Participant Application Form

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