EHS - Senior Reimbursement Request

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All reimbursements will take 2-3 weeks to process. All checks will be made out to the parent/guardian of the Senior student. Please provide your most recent and up-to-date address. Please note we will verify all purchases in our database before processing your request.
MUST BE LOGGED IN TO STUDENTS GOOGLE DRIVE ACCOUNT

FIRST AND LAST NAME OF SENIOR STUDENT *

STUDENT ID NUMBER *

PROM

If you purchased a prom ticket, please check the list below to confirm. If you purchased a senior package in July during Titan Gear Up days, the price for prom was at a discount of $71.
https://docs.google.com/spreadsheets/d/11H13WSsqzF8HWAw_343EAkgNx0Iw3GeBVyvK8j6Auo8/edit?usp=sharing

Please select all of the items that you purchased to be refunded. Please note we will verify all purchases in our database before processing your request. **If you purchased prom as part of the senior package, you paid a discounted ticket price, therefore you will receive the discounted amount in your refund *

I PURCHASED A PROM TICKET

I DIDN'T PURCHASE A PROM TICKET

Prom

SENIOR BREAKFAST

If you purchased a senior breakfast ticket, please check the list below to confirm. If you purchased a senior package in July during Titan Gear Up days, the price for senior breakfast was at a discount of $14.
https://docs.google.com/spreadsheets/d/11H13WSsqzF8HWAw_343EAkgNx0Iw3GeBVyvK8j6Auo8/edit?usp=sharing

Please select all of the items that you purchased to be refunded. Please note we will verify all purchases in our database before processing your request. * *

I PURCHASED A SENIOR BREAKFAST TICKET

I DID NOT PURCHASE A SENIOR BREAKFAST TICKET

SENIOR BREAKFAST

IMPORTANT PERSONAL INFORMATION SO YOUR REFUND DOESN'T GET DELAYED**REFUND CHECKS WILL BE MAILED TO YOU. THERE WILL NOT BE AN OPTION TO PICK THEM UP.

FIRST AND LAST NAME OF PARENT OR GUARDIAN THAT WILL RECEIVE THE REFUND (THE REFUND WILL COME IN THE FORM OF A CHECK) * *

STREET ADDRESS (PLEASE DO NOT FORGET APARTMENT OR UNIT NUMBERS) *

CITY *

ZIP CODE *

PARENT E-MAIL ADDRESS (Please provide an e-mail address that you check regularly-Communication will be sent to e-mail provided ONLY if there are any discrepancies) *

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