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HGG Black British Experience 2027: Registration Form

March 22-26, 2027

Personal Details

First name

*

Last name

*

Preferred name

*

Email address

*

Phone number, including country code

*

Date of birth

*

Gender (This is used for room allocation.)

*

A

Female

B

Male

C

Non-binary

D

Prefer not to say

Home address

*

Institution

University or college

*

Student ID number

*

Year of study

*

Major or field of study

*

Faculty lead or program contact at your institution

*

Travel Documents

Full name exactly as it appears on your passport

*

Nationality / passport country

*

Passport number

*

Passport expiry date

*

Do you need a visa or an ETA (Electronic Travel Authorisation) to enter the UK?

*

A

Yes

B

No

C

Not sure

Have you traveled internationally before?

*

A

Yes

B

No

Health & Dietary

Dietary requirements

*

None

Vegetarian

Vegan

Halal

Kosher

Gluten-free

Other

Food allergies

*

Medical conditions, medications or accessibility needs we should be aware of

*

Do you have travel insurance covering the program dates?

*

A

Yes

B

No

C

Will arrange before travel

Emergency Contact

Emergency contact full name

*

Relationship to you

*

Emergency contact phone number

*

Emergency contact email

*

Accommodation & Program

Roommate preference, if any

*

T-shirt size

*

What are you most looking forward to on the Black British Experience?

*

How did you hear about the program?

*

Do you consent to Hilltop Global Group using photos and videos of you taken during the program for marketing and social media?

*

A

Yes

B

No

Agreements

Untitled checkboxes field

I confirm that the information I have provided is accurate.

*

I have read and agree to the Hilltop Global Group Code of Conduct and Terms & Conditions.

I understand that flights, visas/ETAs and meals marked "on own account" are not included in the program fee.

Signature

*

Signature

Date

*