**ALL SENIOR DUES AND PAYMENTS ARE NON REFUNDABLE**
Payments must be made by Money Order or Bank Check ONLY and be accompanied by a return form below or a
signed parental note stating what the payment is in reference to. No cash or personal checks will be accepted, no
payments will be accepted without a parent/guardian signature.
HSMSE SENIOR TRIP DEPOSIT RETURN FORM
TRIP DEPOSIT DUE DATE IS OCTOBER 15th.
Name of Student: ____________________________________________________
Amount being paid.
□ $75 (Senior trip deposit only)
$_________ Towards senior trip (write in amount)
Signature of Parent/Guardian: __________________________________ Date: ____________
__________________________________________________________________________________________________
HSMSE SENIOR PROM DEPOSIT RETURN FORM
PROM DEPOSIT DUE DATE IS NOVEMBER 16TH.
Name of Student: ____________________________________________________
Amount being paid.
□ $ 50 (One Senior Prom ticket, Deposit Only)
□ $100 (Two Senior Prom tickets, Deposit Only)
$_______ Towards one Senior Prom Ticket (write in amount)
$_______ Towards two Senior Prom Tickets (write in amount)
Signature of Parent/Guardian: _______________________________________ Date: ________________
__________________________________________________________________________________________
HSMSE SENIOR DUES FULL PAYMENT RETURN FORM
DUE DATE IS MARCH 1st 2013.
Payments not made by above date are subject to a $10 per week late charge.
Name of Student: ____________________________________________________
Amount being paid. □ $170 Senior Dues (FULL PAYMENT ONLY)
Signature of Parent/Guardian: ______________________________________ Date: _________________
HSMSE SENIOR TRIP FINAL PAYMENT RETURN FORM
FINAL PAYMENT DUE DATE IS NOVEMBER 29TH.
Students returning payments after this deadline will not be guaranteed a spot on senior trip!
Name of Student: ____________________________________________________
Amount being paid.
□ $230 (Final Payment)
$_________ Senior Trip Balance (write in amount)
Signature of Parent/Guardian: __________________________________ Date: ____________
__________________________________________________________________________________________________
HSMSE SENIOR PROM FINAL PAYMENT RETURN FORM
PROM FINAL PAYMENT DUE DATE IS MAY 1st 2013.
Students missing this payment deadline WILL NOT attend senior prom and forfeit their deposit!
Name of Student: ____________________________________________________
$_________ Prom Ticket Balance (write in amount)
Signature of Parent/Guardian: _______________________________________ Date: ________________
__________________________________________________________________________________________