Independent Travel Form – The Umbra Institute – Study Abroad in Italy

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.container_sh { color: #fff; width: 100%; display: flex; justify-content: center; align-items: center; position: relative; min-height: 400px; background-repeat: no-repeat !important; background-position: center !important; background-size: cover !important; } .color-overlay { width: 100%; height: 100%; background: #ff0c0c; opacity: .5; position: absolute; } .for_header_title { z-index: 1 !important; width: 80% !important; font-size: 30px !important; } .for_image_title{ padding: 30px 0px; } </style> <div class="umbra-students-service"> <div class="container"> <div class="main-manu"> <nav class="navbar navbar-expand-lg navbar-light"> <div class="collapse navbar-collapse justify-content-between" id="navbarSupportedContent"> </div> </nav> </div> </div> <div class="umbra-service"> <div class="container"> </div> </div> </div> <div class="container"> </div> <section class="content_box_section"> <div class="row no-gutters">  <div class="container"> <div class="col-lg-12 general-content-section"> <h1 style="text-align: center;"><span style="color: #75917a;">Independent Travel Form<br /> <img loading="lazy" class="alignnone size-full wp-image-61363" src="https://www.umbra.org/wp-content/uploads/2021/06/orangelinewithspacerbottom-2.png" alt="" width="250" height="27"><br /> </span></h1> <p style="text-align: justify;"><span style="color: #525252;">Please fill out this form before each weekend and every time you plan an overnight travel outside of Perugia. This will allow us to counsel you on any travel warnings and help us locate and assist you in the case of an emergency or other needs. You can also complete this form on your mobile phone via the Umbra App.</span></p> <hr> <p style="text-align: center;"><script type="text/javascript"></script> <div class='gf_browser_ie gf_browser_ie7 gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_36' ><form method='post' enctype='multipart/form-data' id='gform_36' action='/independent-travel-form/' data-formid='36' novalidate> <div class='gform-body gform_body'><ul id='gform_fields_36' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id="field_36_1" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_36_1" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_36_1'> <span id='input_36_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.3' id='input_36_1_3' value='' aria-required='true' /> <label for='input_36_1_3' class='gform-field-label gform-field-label--type-sub '>First</label> </span> <span id='input_36_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.6' id='input_36_1_6' value='' aria-required='true' /> <label for='input_36_1_6' class='gform-field-label gform-field-label--type-sub '>Last</label> </span> </div></li><li id="field_36_2" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_36_2" ><label class='gfield_label gform-field-label' for='input_36_2'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_36_2' type='email' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id="field_36_3" class="gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_36_3" ><label class='gfield_label gform-field-label' for='input_36_3'>Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_36_3' type='tel' value='' class='medium' aria-required="true" aria-invalid="false" /></div></li><li id="field_36_4" class="gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_36_4" ><label class='gfield_label gform-field-label' for='input_36_4'>Today's Date<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_date'> <input name='input_4' id='input_36_4' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' placeholder='11/24/2024' aria-describedby="input_36_4_date_format" aria-invalid="false" aria-required="true"/> <span id='input_36_4_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span> </div> <input type='hidden' id='gforms_calendar_icon_input_36_4' class='gform_hidden' value='https://www.umbra.org/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/></li><li id="field_36_5" class="gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_36_5" ><label class='gfield_label gform-field-label' for='input_36_5'>Names of anyone traveling with you<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_36_5'>If you're traveling in a group, let us know. Then, only one of you will need to submit an Independent Travel Form for the whole group. Of course, if anyone plans to break off for the group, we ask that you please let us know those details as well.</div><div class='ginput_container ginput_container_textarea'><textarea name='input_5' id='input_36_5' class='textarea medium' aria-describedby="gfield_description_36_5" aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_36_6" class="gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_36_6" ><label class='gfield_label gform-field-label' for='input_36_6'>Travel Destinations and Dates<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_36_6' class='textarea medium' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_36_7" class="gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_36_7" ><label class='gfield_label gform-field-label' for='input_36_7'>Transportation Details<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_36_7'>Are you flying? Taking a train? Let us know how you plan to get around and use as many details as possible (ex. include flight number, connecting airports, etc.). </div><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_36_7' class='textarea medium' aria-describedby="gfield_description_36_7" aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></li><li id="field_36_8" class="gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_36_8" ><label class='gfield_label gform-field-label' for='input_36_8'>Hotel/Hostel/Host Contact Information<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_36_8'>Name, address, city, dates of stay, phone numbers. 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