Tour Chaperone Interest Form- London, March 22-28, 2019

If you are interested in being a chaperone, please provide your full name. *
Your answer
Who is your orchestra child (first and last name? *
Your answer
What is the best email to reach you? *
Your answer
What is the best phone number to reach you? *
Your answer
FOR POTENTIAL CHAPERONES: Please list any unique skills or assets you can provide to the tour experience. *
medical training, photo/videographer, technology skills, musical skills, etc. It is also helpful to know if you have any experience as a chaperone.
Your answer
I understand that to travel with the Pioneer Orchestras that I will be required to pay my own way. *
Chaperones must not drink alcohol, smoke, or do any drugs while on this tour. Do you agree to these terms? *
Chaperones are required by the district to go through a background check. By clicking yes, you are aware that this is a pre-requisite to being chosen as a chaperone. *
Is there anything else you would like me to know about your chaperone abilities or experience?
Your answer
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