Woodland Middle School Fine Arts Trip 2016 Universal Studios-OrlandoFest-Islands of Adventure Traveler Agreement Form This form is to be completed by each traveler; student, chaperone, or director. I will be attending the Fine Arts Trip to Orlando, Florida on Wednesday, February 10-Saturday, February 13, 2016. By signing this form, I am responsible for adhering to the guidelines and the payment schedule as presented herein. 1. Behavior – I understand that this trip is considered to be an extension of the school day. All county and school rules apply. Student Travelers will also receive a separate Behavior Contract containing Trip Rules, Procedures, and Expectations. Any noncompliance of the rules will result in a conference with the director(s) and appropriate disciplinary measures. 2. Payment Schedule – I understand that payments must be made on time or the traveler may forfeit their right to attend. The total cost of the trip, based on a room of 4 students or 2 chaperones, is $520.00 per person and includes: Round-trip motor coach transportation, 2 nights-hotel accommodations with security guards, Admissions to Universal Studios, Islands of Adventure, the OrlandoFest Workshops, 3 breakfasts, 3 lunches, 3 dinners including the Pirate’s Dinner Adventure, a tour escort, and a trip hoodie. Payment 1 - $175.00 (+ $25.00 OPTIONAL Cancellation Insurance*) due on/before 9/18/2015 THIS COMPLETED TRAVELER AGREEMENT FORM IS DUE WITH PAYMENT 1 ON/BEFORE 9/18/2015 Payment 2 - $175.00 due on/before 10/30/2015 Payment 3 - $175.00 due on/before 12/4/2015 Payments may be in the form of cash, money order or check payable to WMS. Checks must include an address, phone number, and the student’s name. A single check may not exceed $300.00. 3. Refund Policy - *OPTIONAL CANCELLATION INSURANCE OPTIONAL: An additional $25.00 is due with Payment 1 on/before 9/18/2015. This is not required, it is optional. If a traveler cancels for sickness, injury, or some unforeseen tragedy, 100% of the payments to date will be refunded. If a traveler cancels for any other reason up to 48 hours prior to departure, 75% of the payments to date will be refunded. Trip Payments are ONLY refundable to travelers who purchase the optional cancellation insurance. *** THIS COMPLETED FORM IS DUE WITH PAYMENT 1 ON/BEFORE 9/18/2015 *** Please check the appropriate 3 boxes. STUDENT CHAPERONE HOODIE SIZE: S M L XL 2XL 3XL I permit my child to view any G-rated, PG-rated, or PG-13-rated DVD movies* on the bus. I permit my child to view ONLY G-rated or PG-rated DVD movies* on the bus. I/we have read and understand the Payment Schedule and the Refund Policy (Optional Insurance Cancellation) above. I/we am/are aware that trip payments are ONLY refundable to travelers who purchase the optional cancellation insurance. Print Traveler’s Name ____________________________________________ Group/Grade ____________________ Traveler’s Signature _______________________________________________________ Date __________________ Parent’s Signature _________________________________________________________ Date __________________ The best phone number(s) to reach a Parent/Guardian: __________________________________________________ *Students may bring original (legal) DVDs. The Directors will make the final choice as to whether a DVD will be played. A copy of this Traveler Agreement Form is located on the Woodland Middle School Fine Arts website page.