EPHS Band Chaperone Lottery
EPHS BAND CHAPERONE LOTTERY
Only fill this form out if you are 100% sure you can chaperone and can make the deposit if/when selected. If more than one parent/guardian per child would like to go on the trip please fill out the form separately
Email *
First and Last Name *
Child's First and Last Name *
Email Address *
Phone Number *
In order to be a chaperone on an overnight field trip a chaperone must be approved at the PC BOE *
Are there any extenuating circumstances that we should know about(medically complex child, sibling you would need to bring) Briefly explain *
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