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D.C Trip Registration Form
Please fill out this form for each individual going on the trip.
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* Indicates required question
Name:
*
Your answer
Are you a Student or Parent Chaperone?
*
Student
Parent Chaperone
What is your email?
*
Your answer
Parents Email (if you are a Student)
Your answer
Cellphone
*
Your answer
Parents Cell (if you are a Student)
Your answer
Room Option Preference
*
4 Person Room ($760) - Reccomended
3 Person Room ($804)
2 Person Room ($892)
1 Person Room ($1,155)
Required
Please select instrument:
*
Chaperone (check this one)
Flute
Clarinet
Saxophone
Trumpet
Mello (Horn Players)
Baritone/Trombone
Tuba
Percussion
Colorguard
Chorus
Please acknowledge that you understand the payment schedule provided in the powerpoint:
*
I acknowledge
Required
Please acknowledge that you understand the cancellation schedule provided in the powerpoint:
*
I acknowledge
Required
If provided, would you be interested in trip insurance?
*
Yes
No
The $100 non-refundable deposit is due by October 5th. What is your intention for paying this fee:
*
Check (Made out to "Charger Bands")
Cash (Envelope with students/parents name)
Square (via
www.chargerbands.org
)
I plan to attend the Cox Mill Band D.C Trip taking place on May 26th-39th of 2023. I also acknowledge that the first payment of $100 of this trip is non-refunable.
*
Yes, I acknowledge
Required
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