top of page

2025 Student Registration Form

*indicates required fields

Parent/Guardian Information

Student Information

Birthday
Month
Day
Year
Sex listed on Passport

Trip Specific Info

Location
Kahama
Zanzibar
Both Locations
Dates (*Approx. Time Frame)
How did you hear about the program?

Code of Conduct Agreement

Our goal is for every student to walk away from this trip with significant, personal impact by volunteering and immersing in a culture so unique from our own. That being said, we do have a few rules and guidelines every student and parent needs to agree to in order for the trip to be successful.

 

1. Respect - Respect for our leaders and the culture is imperative.

2. No cell phones - Students can bring their cell phones, however, once we arrive in Tanzania, we will hold their cell phones for the majority of the trip. They will have limited access to their phones on the weekends. Phones will never be allowed while on volunteer projects or when we are involved with the community. We do have work phones and phone numbers will be available to students and parents in case of emergencies.

3. Participation - We do expect all students to participate in all of the events we have planned. This may push some out of their comfort zone, but that is part of the reward.

4. Adult/illegal activities - While on the trip, students will not be allowed to participate in sexual activity, drinking, drugs, smoking, vaping or any other activity that is illegal or deemed inappropriate for their age or the culture we are in.

5. Hanging out - we encourage camaraderie among the students, however, we do not allow girls in boys dorms and vice versa.

6. Curfew - During the week we will have an early curfew as many of our days begin early in the morning. We will have extended free time on the weekends for students to hang out and enjoy the local scenery.


Is there any occasion my student would be sent home?

Yes, there are certain circumstances we would contact the parent to make travel arrangements for their student for early departure. Here are few examples of why we would ask a student to no longer participate:

  • If a student attempts to, threatens or causes harm themselves or others

  • If a student is showing signs of extreme anxiety

  • Disrespecting the staff or one another

  • Bullying

  • Trying to solicit drugs or other substances considered to be illegal for their age

  • Engaging in inappropriate sexual activities

  • Refusal to participate or follow rules

 

If your student gets to the point we need them to go home, we will need your help in making arrangements for them to vacate the property the same day. In addition, parents will incur the expense of all travel arrangements including staff for supervision, transportation to and from the airport for the student and staff which may include but not limited to hotel, taxi, ferry, airline and/or bus fees. Traveling can be quite expensive, please make sure your students are emotionally and mentally healthy for the trip in order to avoid these possible scenarios.


Please sign below to indicate you and your student have thoroughly read the code of conduct rules and expectations as well as the student dismissal policies, protocols and expenses and agree to the conditions of the trip.


Medical Information and Waiver

Please give us some details about your student's medical background

Does your student have allergies

If yes, please list the medical allergies here:

Does your student take any medications?

Does your student suffer from depression, extreme anxiety or have the had suicidal thoughts in the past six months?

Does your student have any type of disability or impairment we should know about or that we would need to accommodate?

Medical Treatment While in Tanzania - Should a medical situation occur while traveling, you give Volunteer Pathways by SHAPE NW the authorization to help seek medical attention for your student and will be financially responsible for all costs associated with medical treatment.


I agree to indemnify and hold harmless against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation, or otherwise being brought to Volunteer Pathways by SHAPE NW or anyone on it's behalf.

Today's Date
Month
Day
Year
bottom of page