2025 Optional Cultural Extension Program Application

2025-2026 Optional Cultural Extension Registration
Delegate Information
Delegation Title and Optional Cultural Extension *
Delegate Name*

PrefixPreferred First NameMiddle InitialLast Name
Email
example@example.com
Accompanying Guest

PrefixPreferred First NameMiddle InitialLast Name
Rooming Information
Preferences

I will be rooming with my accompanying guestI prefer a single room- I understand I will be charged the single room supplementPlease assign a roommate- I understand that roommates will be assigned based on enrollment date and ability to match rooming preferences
If Traveling with an accompanying guest:

Two bedsOne bed
Accomidation Preference

Smoking roomNon-smoking roomNo preference
The Cultual Extension Program Fee will be added to my final invoice. I understand that should I cancel from the Optional Cultural Extension Program, cancellation penalaties will apply to the Optional Cultural Extension Program, as applied to the Professional Program and specified in the 2025 Participant Terms and Conditions.
Signature

Clear
Should be Empty:

2025-2026 Optional Cultural Extension Registration