BOTH SIDES OF THIS FORM MUST BE COMPLETED AND RETURNED FOR ALL BOARDING STUDENTS BY FEBRUARY 13th 2017

Student Name ______

TRAVEL OUTBOUND FROM RECTORY SCHOOL

THURSDAY MARCH 2nd 2017

By: Plane Car Train Van Other

Travel Money (normal allowance is not given) $______

Plane Travel

Complete this section and attach a copy of the student’s e-ticket or itinerary

Airport: ______Flight #: ______Departure Time: ______

E-ticket confirmation No.: ______(required for all e-tickets)

Unaccompanied Minor (UM): Yes No If YES, complete the attached form.

UM Prepaid : Yes No If YES, attach receipt.

(NOTE: There is a separate charge by the limo service and the airline for UM service.)

Do you want The Rectory School to arrange

transportation to the airport? Yes No

If No, transport provider: ______Pick-up time at Rectory:______

Transport Provider Cell Phone #: ______

Car Travel (pick-up after 12:40 – 5:00 pm)

Name of Adult collecting student:______(parent / other)

Cell Phone of Adult collecting student:______

Approximate time of departure: ______

“VAN” SERVICE TO NEW YORK CITY

(see attached sheet for schedule)

Provided by Legends Limousine Service 1-888-534-3632

Darien, CT (I-95 Rest Stop: southbound past exit 10)

New York City (96th & 1st Ave)

Name of Adult meeting student: ______(parent / other)

Cell Phone of Adult meeting student: ______

...... see over

TRAVEL INBOUND TO RECTORY SCHOOL ON

SUNDAY MARCH 19th 2017

(NO OTHER DATE IS ACCEPTABLE DUE TO MELP PROGRAM DEPARTURES)

By: Plane Car Train Van Other

Plane Travel

Complete this section and attach a copy of the student’s e-ticket or itinerary

Airport: ______Flight #: ______Arrival Time: ______

E-ticket confirmation No.: ______(required for all e-tickets)

Unaccompanied Minor (UM): Yes No If YES, complete the attached form.

UM Prepaid: Yes No If YES, attach receipt.

(NOTE: There is a separate charge by the limo service and the airline for UM service.)

Do you want The Rectory School to arrange

transportation from the airport? Yes No

If No, transport provider: ______Cell Phone #: ______

Car Travel - 4:00pm - 8:00pm

Name of Adult returning student:______(parent / other)

Cell Phone of Adult returning student:______

Approximate time of arrival at Rectory: ______

“VAN” SERVICE FROM NEW YORK CITY

Provided by Legends Limousine Service 1-888-534-3632

(see attached sheet for schedule)

Darien, CT (I-95 Rest Stop: northbound past exit 12)

New York City (96th & 1st Ave)

Name of Adult releasing student: ______(parent / other)

Cell Phone of Adult releasing student: ______

Notes:

Parent Signature:______Date:______

Print Name:______…..see over