MHS Band Chaperone Trip Application

Hawaii 2017

1st Chaperone Mr Mrs Miss Hawaiian Shirt Sizes:

First Name:______S M L XL

Last Name:______XXL XXXL

Cell #:______Birthdate:______

Email Address:______

______

2nd Chaperone Mr Mrs Miss Hawaiian Shirt Sizes:

First Name:______S M L XL

Last Name:______XXL XXXL

Cell #:______Birthdate:______

Email Address:______

______

Children Hawaiian Shirt Sizes: Youth - S M L XL

Adult - S M L XL XXL XXXL

1. First Name:______Birthdate:______

Shirt Size:______

Last Name:______

2. First Name:______Birthdate:______

Shirt Size:______

Last Name:______

3. First Name:______Birthdate:______

Shirt Size:______

Last Name:______

Your Band Students Name:______Grade:_____

Circle your Preference for Occupancy:

Hawaii Trip Package W/Flight

Quad Occupancy Triple Occupancy Double Occupancy Single Occupancy

$2669 $2827 $3143 $4092

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You have the option to purchase your own flight. We do suggest purchasing your flight on the same flight as the band. If your flight does not arrive in Honolulu when the band arrives then you will need to provide your own transportation to the hotel and wherever the band may be.

Circle your Preference for Ground Package Occupancy:

Quad Occupancy Triple Occupancy Double Occupancy Single Occupancy

$1807 $1965 $2281 $3230

If you know who you might want to room with please indicate below your choices. If you do not know who you might want to room with then I will try my best to find you roommates but I can not guarantee I will be able to find you all the roommates for the occupancy you choose.

Chaperone

Roommates Names:______

______

______

______

Parasailing Optional (Pre-Pay $65 per person): Yes No

Forms chaperones must turn in:

1: Green Light Trip Application (Everyone must fill out this form)

2: MHS Band Chaperone Trip Application (One form per family)

3: Travel, Financial, and Personal Responsibility Agreement Form (Everyone must fill out this form)

4: Chaperone Commitment Form (All Chaperones must fill out this form)

5: MISD Background Check for those 18 and up that are not MISD students

6: Photo Copy of your State Issued Id, Drivers License, passport for those 18 and up (those under 18 during the trip can use student ID or DL) Either make a copy or take a picture of your ID and text it to 432-238-2776