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Request to Apply Student Funds to Trip Payment
Use this form to request funds from your student's Charms account to be applied to the Chorus trip.
You are responsible for any remaining balance due after Charms amount has been applied.
Please submit this form at least five days before the payment is due to allow time for processing.
In order for funds to be transferred, you must have submitted a current Student Fundraising Agreement and paid the $5 program fee.

For questions, you may contact Michele Bach-Hansen, Scrip Coordinator at or Amy Moir, WTW Choral Director at

Student First Name *
Your answer
Student Last Name *
Your answer
For which payment are you requesting funds? *
Amount you would like to apply (please specify a dollar amount, rather than "all of it"): *
Your answer
By writing your name below, you authorize the transfer of funds from your student's Charms account to apply towards the payment of the Spring Trip and agree to the terms listed above. *
Your answer
Email address *
Your answer
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