Kentucky State University | KSU Thorobred Cruise Contact Form

Date

School/Organization:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Person:

First Last

Contact Email:

Select Program Content for Your Cruise:

Note: If you are booking a public cruise, by default the cruise content is the Community River Education.

Total Number of Passengers in Your Group:

Grade Level of Your Group:

List Passengers Who Do NOT Want Their Picture Taken:

Click plus sign (+) to add multiple names

Total Number of Adult and Minor Passengers:

Adults	Minors

Total Number of Female and Male Passengers:

Female	Male

Total Number of Passengers from Each Ethnicity:

White	African-American	American Indian or Alaska Native	Native Hawaiian or Pacific Islander	Non-Hispanic	Hispanic	Other