Name_____________________________________Student ID__________
Class of 2013 Senior Munch:
CASH ONLY!!!
Sunset Dinner Cruise: Thursday, 6/13 from 5:30-9pm
Senior Picnic & Yearbook Signing: Friday, 6/14 from 8am-1pm
Disneyland: Monday, 6/17 from 8:15am-5:30pm
Tickets on Sale from May 6th-May 24th ONLY!!!
Event
Price With ASB
Price Without ASB
Dinner Cruise
$55.00
$58.00
Picnic
$22.00
$25.00
Disneyland Only
$75.00
$78.00
Parkhopper
$94.00
$97.00
(Disney & California Adventure)
Sunset Dinner Cruise: Join us for a sunset dinner cruise on the Newport Harbor. Seniors will be welcomed aboard the
“Eternity” for a night filled with good food and dancing. We will only sell 300 tickets to this event. Once we sell this
amount, we will NOT sell any more. Attire for the event is dressy not casual.
SENIOR PICNIC & YEARBOOK SIGNING: The Class of 2013 has reserved Hart Park in Orange on June 14th.
Your admission includes rental of the park, hot dogs, hamburgers, veggie burgers, salad, french fries, snow cones, breakfast
pastries and unlimited beverages. All for the price listed above! Yearbooks will also be delivered during this time and will be
available to seniors only!
Disneyland & Parkhopper ONLY: All students MUST take the bus to the event and back to Foothill. If you do not go
to, and return, on the bus you may be excluded from Graduation and subject to disciplinary action. Remember, you need to
be at Foothill by 8:15 AM. We should be back at Foothill around 5:30pm. Please plan accordingly with your work and sports.
All FHS rules apply while on a school sponsored trip.
If you have an Annual Pass to Disneyland: you do not need to buy a ticket. You MUST purchase the bus ticket for
$10. Please check your pass to be certain it will not have expired by, or be blacked out on, the date of the munch.
Want to sponsor a senior? In today’s financial times, some families are unable to pay for these senior activities. If you
would like to make a donation we know that a special senior could use it. Please indicate your donation amount below.
ALL OBLIGATIONS MUST BE CLEARED IN ORDER TO PURCHASE A TICKET!!!
Parent Permission and Agreement of Codes
I hereby agree to all the codes of conduct and expectations outlined on these forms. If I do not meet these expectations in any
way I may face several consequences upon returning to school including, but not limited to, loss of senior privileges, exclusion
from future senior munches, and other consequences to be determined by the administration. By signing my name below, I
and my parent(s) am agreeing to this code.
Student Signature_____________________________________Date________________
CASH ONLY!!!
Parent Signature _____________________________________Date_________________
TICKET ORDER FORM:
Check
here to
purchase
Place an X next to the items you would like to purchase
Event
Price
CASH ONLY
Disneyland Admission Ticket ($75 w/ASB & $78 w/out)
Disneyland Annual Passholder (bus only option) ($10)
Parkhopper Admission Ticket ($94 w/ASB & $97 w/out)
Senior Picnic ($22 w/ASB & $25 w/out)
Dinner Cruise ($55 w/ASB & $58 w/out)
Donation: Indicate Amount Here:
Total:
(turn over and complete the Permission and Information form)
Ticket Sold By_____________________
PERMISSION AND INFORMATION FORM
TRIP INFORMATION
School:
Foothill High School
Group: Class of 2013
Destination:
Disneyland & Senior Picnic &
Dinner Cruise
Duration:
5:308am9pm
1:00 pm
Cruise
Picnic
Date of Trip:
6/17/13 (Disneyland)
6/14/13 (Picnic)
6/13/12 (Dinner Cruise)
Advisor: Knowlton & Molina
8:15am5:30pm
Disney
Activity/Purpose: Senior Munch
Departure: 8:15am (Disney)
Return: 5:00pm (Disney)
8:00am (Picnic)
1:00pm(Picnic)
5:30pm
9:00pm
Transportation:
Disney: School Bus only
Picnic: OWN
Cruise: OWN
STUDENT INFORMATION
Name:
Date of Birth:
Street Address:
City/Zip:
Phone: Home (
)
Parent Work:
(
)
Parent/Guardian Name:
Insurance Company:
Policy #:
 Instructions
Allergies/Medications/Medical Condition: If you have any special
instructions, kindly attach an explanation and check the appropriate box.
Attached
 No Instructions
Attached
EMERGENCY CONTACT (Use a contact other than parent/guardian listed above)
Name:
Relationship:
Street Address:
City/Zip:
Phone: Home (
)
Work:
(
)
STUDENT CONDUCT
The Principal/designee has thoroughly explained the purpose of this trip, safety rules, and rules of conduct. In addition to rules and consequences established
by the transportation provider, facility, or other organizer of this event, all school and district rules apply, including those related to alcohol and drug use. The
consequences for violating those rules will be the same as if the violation were committed at school.
TO THE PARENTS
Please read carefully the information about the trip, itinerary, and other information provided above. Complete the contact and emergency information. Be
sure to check the appropriate box and attach special medical instructions as necessary. Please note that all school rules, including those related to alcohol and
drug use will apply while on this field trip. Your student will be held accountable for behavior as if he or she were at school.
LIABILITY RELEASE
As provided for in California Education Code Section 35330, the parent/guardian waives all claims against the State of California or the Tustin Unified
School District, its officers, employees and agents, for injury, accident, illness or death occurring during or by reason of this trip.
MEDICAL AUTHORIZATION
In the event of any illness or injury, the parent/guardian hereby consents to whatever x-ray, examination, anesthetic, medical, dental, or surgical diagnosis
and/or treatment and hospital care from a licensed physician and/or surgeon as deemed necessary for the safety and welfare of the student. It is understood
that the resulting expenses will be the responsibility of the parent/guardian and the school or district does not provide medical coverage for participants in this
activity.
I (we) have been informed about this field trip and agree to the Student Conduct, the Liability Release and Medical Authorization.
Parent/Guardian Signature
_________
___________________
_________
Date
Student Signature
Date
Ticket Sold By_____________________
For office use only