Please complete this form to express an interest in a future Back to China trip

Full names of parents:
Contact:
Children participating, date of birth, check box if adopted from China:
Other adults accompaning your family:
One Two Three Four More than four
Trip departure dates your family is interested in:
2009 March 7th-19th 2009 April 11th-23rd 2009 July 11th-23rd
Additional information (for example, a specific place or orphange you want to visit):
Interested in additional 2 days to Xi'an