100 S. Saunders Road Suite 150 Lake Forest, IL 60045 (866) 599-TRIP (8747) your group travel connection Monroe Area High School Band Performance Trip to Disney World March 11-13, 2016 th th (Leave at midnight the 11 and arrive home at midnight the 13 ) PLEASE PRINT LEGIBLY Parent Name: Parent Email Address: (THIS MUST BE AN EMAIL THAT IS CHECKED REGULARLY) Parent Contact Numbers: If parent is traveling, please also include the name of the traveling parent in the next section. TRAVELER NAME(s) Special Dietary Needs or Allergies? Roommate(s) Preference 1 2 3 If more than 3, please fill out an additional signup form and attach. **Student Rate at Quad Occupancy is: $542.00 INTERESTED IN BEING AN ADULT CHAPERONE? Fill out this section. Space is limited. Chaperone space for this trip is LIMITED. Chaperones will be accepted on a first come first serve basis after all band students have signed up. Parent Name(s): Adult /Chaperone Hotel Room Occupancy Preference (Circle One) Triple $ 569.00 Double $ 621.00 Single $ 779.00 SIGN UP INSTRUCTIONS Sign up form and $100.00 deposit per person is due no later than: July 28, 2015 Once your sign up form and deposit are received you will be emailed an invitation to join the trip with instructions for setting up your online account. From your account, you can begin making monthly payments via debit or credit card. (All travelers will need an online account whether you are paying online or not) Mail Checks or Money Orders to: Huddletrip, LLC. Attn: Lydia Gagnon 178 Major Road Sharpsburg, GA 30277 For questions or help: Contact Lydia Gagnon 866-599-8747 X 803 or 678-773-0206 (cell)