Chaperone Name *

First Name

Last Name

Chaperone Phone

Cell preferred, if possible.

(###)

###

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Student Name *

First Name

Last Name

I will be participating in the 2024 Oshkosh West Bands trip to New York City during spring break 2024. *

I accept.

I understand the financial obligations of the trip including the payment schedule. Further, I acknowledge that Bob Rogers Travel requires trip insurance to be purchased in addition to the standard trip payments in order to be eligible for refunds should the trip be canceled or postponed. I understand that my student will not travel with outstanding band fees/fines of any sort. *

I accept.

I understand the availability of refunds. I also understand that fundraising profits cannot be returned for any reason. *

I accept.

I understand that notification must be submitted in writing (not by phone or email) on the cancellation form to be removed from the trip and to be eligible for refunds if enrolled in CFAR trip insurance.

I accept.

I understand that trip insurance has been offered by the travel company at additional cost to cover unforeseen circumstances in the case of a chaperone not being able to travel on the prescribed dates. *

I accept.

I understand that I must attend the Pre-Trip Meeting prior to departure. *

I accept.

I understand that a background check will be performed one month prior to the departure date. *

I accept.

I understand that a violation of OWHS/OASD rules while on the trip will result in disciplinary action. *

I accept.