Rotary District 6460 Travel Request Form
Who is completing the form?
Start date of travel
End date of travel
Name of Destination Hosts/Hotel/Place
Address of Destination Hosts/Hotel/Place
Phone of Destination Hosts/Hotel/Place
Contact Phone of Destination Hosts/Hotel/Place
Travel Arrangements: Driver Name
Travel Arrangements: Driver Cell
Is travel by other means?
Who is Meeting the Student?
YEO (or Other Rotarian) gives Permission?
YEO (or Other Rotarian) name:
Did the Host family Give Permission?
Host Family name:
Did the Biological Family Give Permission?
Please provide the parent email which gives permission:
Is the student making an effort at school?
Is the Student behaving within the Standards of Rotary?