Greek Cultural Program Reservation
Friday, May 18, 2018
Email address *
SCHOOL INFORMATION
School Name *
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Address *
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City, Zip *
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School Telephone *
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TEACHER/CONTACT PERSON *
Name & Title
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Phone Number *
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Email Address *
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Grade Level *
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RESERVATION INFORMATION
Please List All Teachers, Number of Students and Number of Chaperones Separately in the Area Below
Teacher 1 *
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Number of Students *
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Number of Chaperones *
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Teacher 2
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Number of Students
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Number of Chaperones
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Teacher 3
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Number of Students
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Number of Chaperones
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Teacher 4
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Number of Students
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Number of Chaperones
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Teacher 5
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Number of Students
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Number of Chaperones
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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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