Greek Cultural Program Reservation
Friday, May 18, 2018
Email address *
SCHOOL INFORMATION
School Name *
Address *
City, Zip *
School Telephone *
TEACHER/CONTACT PERSON *
Name & Title
Phone Number *
Email Address *
Grade Level *
RESERVATION INFORMATION
Please List All Teachers, Number of Students and Number of Chaperones Separately in the Area Below
Teacher 1 *
Number of Students *
Number of Chaperones *
Teacher 2
Number of Students
Number of Chaperones
Teacher 3
Number of Students
Number of Chaperones
Teacher 4
Number of Students
Number of Chaperones
Teacher 5
Number of Students
Number of Chaperones
The program fee is $15.00 per student. Full payment is due by May 1, 2018. Upon receipt of this reservation form, confirmation will be made by e-mail. Reservations will be accepted in the order that this form is received. Please add questions and/or comments in the field below. We look forward to hearing from you! Thanks!
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