Cuba Cultural Exchange Program Travel Questionnaire

Cuba Cultural Exchange Program

January 21 -29, 2024

TRAVEL QUESTIONNAIRE

DC Delegation: take a few minutes to complete the following travel questionnaire.

Contact Lakshmi Halper, our US Travel representative, at laki.halper@gmail.com for more information

CONTACT INFORMATION

First name

Last name

Phone

DEPARTURE FLIGHT INFORMATION
Jan 21 - BUS departs at 4:30 PM for the hotel

Airline

Flight Number

Departure Airport

Departure Time

Layover City and Flight Number

Layover Departure Time

Arrival Airport

Arrival Time

RETURN FLIGHT INFORMATION
Jan 29 (BUS departs at 10AM for the airport)

Airline

Flight Number

Departure Airport

Departure Time

Layover City and Flight Number

Layover Departure Time

Arrival Airport

Arrival Time

DIETARY RESTRICTIONS?

You must have a travel visa to visit Cuba for the cultural exchange program.

Participants must have travel insurance that cover medical to visit Cuba.

PASSPORT INFORMATION
Passport expiration date must be after June 29, 2024

PASSPORT NUMBER

COUNTRY OF ISSUANCE

EXPIRATION DATE

ANY SPECIAL NEEDS OR REQUESTS?

Thanks for submitting!