2024 Ashland Middle School New York City Chaperone Registration
This registration is for chaperones only. There is a separate registration for students interested in attending. PLEASE KNOW REGISTRATION IS NOT COMPLETE UNTIL A DEPOSIT IS RECEIVED - CHAPERONES ARE NOT TO SUBMIT A DEPOSIT UNTIL THEY KNOW IF THEY HAVE BEEN SELECTED TO CHAPERONE.
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Email *
Chaperone LAST Name *
Chaperone FIRST Name *
Chaperone Gender *
Age *
Best Phone Number *
Child's Name (First & Last) *
Your Relationship to Child *
Street Address (or PO Box) *
City *
Zip Code *
What special qualifications do you have to serve as a chaperone (teacher, nurse, doctor, law enforcement, etc.)?
Have you chaperoned one of our trips in the past? *
I understand that I am not guaranteed a seat on the trip. Due to limited space, only a limited number of adults will be selected to chaperone.  *
Required
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