Travel to Southern Dec. 10–20, 2021

› Cost: $3,789 › Payment plan › Earn credit hours › Invite your favorite traveling companion

Your 11-day academic travel includes: › Round-trip land and air transportation › Three- and four-star, double-occupancy hotel accommodations › Exclusive deluxe motor coach, faculty escorts, tour manager and expert local guides › Breakfast daily and wine-tasting dinners › Admission and passes to all activities on the itinerary › Insurance: full accidental, medical and trip cancellation/interruption coverage Itinerary highlights: › and Positano › Royal of › Ancient Greek ruins at › Monte Cassino Abbey › Ruins of › Walking tour of Roman Forum & Colosseum › Medical facility tour › Vatican City › Free days in and Sorrento

More info contact Patricia Brennan, Ph.D. PH 402 552 6125 [email protected] Clarkson College ATA 2021: on Dec. 10–20 $3,789

The 11-day trip includes round-trip air and land transportation, 3- and 4-star double-occupancy hotel rooms, full medical and travel insurance, expert local guides, private tour director, private driver and deluxe coach, admission to all activities on the itinerary, full breakfast daily, two wine dinners and two free days.

FIRST TRAVELER (Please print clearly)

LEGAL FIRST, MIDDLE & LAST NAMES EXACTLY AS THEY WILL APPEAR ON PASSPORT

D.O.B. Email

Current address

Cell Phone Work Phone

Check all that apply: Clarkson College alumni YEAR Nebraska Medicine employee Clarkson College faculty/staff Clarkson College student MAJOR SEMESTER GRADUATING

is my roommate for the trip. Two twin beds One double bed I request single accommodations (an additional $475). I request assistance securing a roommate.

UNDERGRADUATE STUDENTS ONLY: Check the course you plan to take. Although you will register it for Fall 2021, you may choose either Fall 2021 or Spring 2022 for tuition billing.1 ___ HU 215 (satisfies the humanities core) ___ HU 290 (1, 2 or 3-hour elective) ___ HU 291 (zero-credit, P/NP elective)

TRAVEL COMPANION (Please print clearly)

LEGAL FIRST, MIDDLE & LAST NAMES EXACTLY AS THEY WILL APPEAR ON PASSPORT

D.O.B. Email

Current address

Cell phone Work phone

REGISTRATION INFORMATION Registration ends Feb. 1 or when spots fill up. To save your spot and avoid the waitlist, sign up early. Mail or deliver the signed registration form and $250 deposit to Dr. Patricia Brennan, Clarkson College ATA Coordinator, Clarkson College 101 S. 42 Street, Omaha, NE 68131. Make checks payable to Clarkson College.

QUESTIONS: Dr. Patricia Brennan PH 402.552.6125 [email protected]

I/we understand that a non-refundable deposit of $250 per traveler reserves my/our space. Subsequent payments are due April 9 ($1,179), June 25 ($1,180), and Sept. 10, 2021 ($1,180).

SIGNATURE OF FIRST TRAVELER & DATE SIGNATURE OF SECOND TRAVELER & DATE

1 Throughout Fall 2021, pre-trip classes are conducted online with two required student meetings at Clarkson College on Sept. 24 and Oct. 29. Remaining coursework (e.g., reflection photo-journal) is completed throughout Spring 2022.