Request edit access
WYHS Choirs Disney Trip 2018 Registration
Event Timing: November 20-25, 2018
Trip Cost will be approximately $900-$1100 (It's Disney folks no way to work around it.  You have two years to pay this off and we will fundraise like crazy!
Sign in to Google to save your progress. Learn more
First and Last Name *
Parent Email *
Student Email
Home Address *
Parent Name/Phone Number
Emergency Contact/Name 1/Phone Number *
Emergency Contact/Name 2/Phone Number *
My child has medical insurance *
If answered "YES" to the above who is the insurance provider and policy number?
Dietary restrictions *
Please list any food allergies
Please list any medical conditions/medications (confidential) each student will be asked prior to the trip to provide a copy of their medical insurance card.
I understand that I will have to pay $1045 in seven non-refundable installments:  $100 deposit to hold students spot due May 25, 2017; $175 due October 2, 2017; $175 due January 5, 2018;  $175 due April 6, 2018;  $100 due May 22, 2018:$175.00 due August 31, 2018 $Final Balance due October 1, 2018 otherwise my student(s) will not be permitted to attend.  Students are responsible for providing their own spending money.  Cash or Checks made payable to WYHS Choirs.  I understand the trip is an investment and is NON-REFUNDABLE unless I purchase the Travel Insured International trip insurance package for $45 and agree with the insurance policies and agreement *
Required
I give my student permission to attend the WYHS Disney Trip 2018 with the understanding that if my student receives any out of school suspensions/expulsions, moves out of the district or quits the choir program they will no longer be eligible to attend our trip.  Students should be trustworthy in school in order to travel with the school out of state.  (Please SIGN/DATE electronically below parent/guardian ONLY) *
Student Signature/Date *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Whitehall City Schools.

Does this form look suspicious? Report