Auburn High School Music Department—Walt Disney World



Auburn High School Music Department—Walt Disney World

March 18-23, 2011

Commitment Form

Due: September 20, 2011

PLEASE PRINT:

Last Name ____________________________First Name______________________ MI_____

2010-2011 Grade Level_____________ Choir____ Band_____

Mailing Address _______________________________________________________________

City, State, Zip_________________________________________________________________

Father’s Printed Name ___________________________________________________________

Father’s Phone Numbers: Home________________ Work _____________ Cell ____________

Mother’s Printed Name __________________________________________________________

Mother’s Phone Numbers: Home________________ Work _____________ Cell ___________

Parent Email Address 1 __________________________________________________________

Parent Email Address 2 __________________________________________________________

My signature verifies that I understand my commitment to the Auburn High School Music Department Trip scheduled for Friday, March 18 – Wednesday, March 23. This form must be completed, signed and returned with a non-refundable deposit of $100 attached by Monday, September 20, 2011

I agree to stay current with minimum amounts due for the trip. Minimum payment schedule is as follows:

Sept. 20, non-refundable deposit—$100

Nov. 15 -- $187 ($287 total)

Dec. 20 -- $187 ($474 total)

Jan. 27 -- $376 ($850 total)

Trip Cancellation Refunds:

Cancel after Jan 2: refund half the price ($425)

Cancel after Feb. 1: no refund

Student Signature __________________________________________ Date ________________

Parent Signature ____________________________________________Date ________________

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