California 2018 Packet
All forms (except Medical) for the 2018 California Trip. Following completion, you will 2 emails. One will be a summary of your responses and another which you must print and sign to confirm you completed this online packet. This signed form should be returned to Mr. Marks. A separate Google Form must be completed for each student!
Email address
Student's Name
Your answer
Parent Email (please use same as above)
Your answer
Student Grade in 17-18
Home Address
Your answer
Home Phone
Your answer
Student Date of Birth
MM
/
DD
/
YYYY
Parent Cell
Your answer
Student Cell
Your answer
I request that my son/daughter, named above, be allowed to attend the Southern California Trip scheduled for Friday, February 23, 2018 until Wednesday, February 28, 2018. I hold and save harmless Midland Park Schools for any injury or property damage suffered as a result of this trip. By signing this consent, I understand that all school rules, regulations and Board of Education policies are in effect for this trip.
Parent Name
Your answer
Emergency Contact Person
Your answer
Emergency Contact Number
Your answer
I give permission for funds from my Child's Performing Arts Parents Student Account to be used toward the cost of this trip
I will include a $150 Non-Refundable Deposit with the signed email at the end of this form.
I understand the following Payment Schedule: $200 Payments on 5/16/17, 6/16/17, 9/22/17, 10/16/17, 11/16/17/. There will also be a payment on 12/15 for the remaining balance. Payments can always be made early! Late payments may cause my child to be removed from the trip. All Checks are payable to "MPHS"
I understand that the estimated cost of the trip is $1275 and that the final price may changed as a result of Economic Conditions, Size of Group, Itinerary Adjustments and other factors.
I understand how students will be selected for the trip:
Captionless Image
I have seen and understand the printed packet that my child brought home (or printed from the website)
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