2013 KMEA Group Housing Form
Galt House Hotel
140 N. Fourth Street
Louisville, KY 40202
Phone 502.589.5200 • Fax 502.585.9029
Attn: Mary Drury (mdrury@galthotel.com)
Please PRINT or TYPE to assure accuracy.
• DEADLINE: January 9, 2013
• All confirmations will be sent to the individual listed below.
• Cancellation Policy 48 hours prior to arrival.
Please check the housing type below: Forms will not be accepted unless housing type is noted.
Kentucky Children’s Chorus
KMEA policy requires a minimum of one chaperone and the teacher for every three students attending.
Kentucky Junior High Chorus
KMEA policy requires a minimum of one chaperone and the teacher for every three students attending.
All-State High School
KMEA Policy requires teachers to seek housing in the same hotel as their students.
Other (describe to the right)
(
Director First Name
Last Name
)
Area Code
(
School Name
)
Area Code
School Address
City
Phone Number
State
Phone Number
Zip Code
Email
Reservation List
Arrival
Departure
Room 1
Student
Chaperone
Director
List school if sharing housing
Student
Chaperone
Director
List school if sharing housing
Student
Chaperone
Director
List school if sharing housing
1
2
3
4
Arrival
Departure
Room 2
1
2
3
4
Arrival
Room 2
1
2
3
4
Departure
Arrival
Departure
Room 4
Student
Chaperone
Director
List school if sharing housing
Student
Chaperone
Director
List school if sharing housing
1
2
3
4
Arrival
Departure
Room 5
1
2
3
4
*Rooms may not be available for check-in until 3:00 PM. Check out time is 11:00 am. Failure to cancel at least 48 hours prior to
arrival of the reservation will result in one night’s room charge.
KMEA requires the signature of the school principal on any housing form that includes a teacher or adult chaperone assigned to the
same room as students.
Principal Signature
2013 KMEA Room Rates:
(Overnight Self Parking is $12.00 per day)
Galt House STATE SALES TAX EXEMPT RATE per night, which includes 8.5% tax
Occupancy
Full-Rate
Per Person
1 Person
$130.20
$130.20
2 Persons
$135.63
$67.82
3 Persons
$141.05
$47.02
4 Persons
$146.48
$36.62
Galt House NON-EXEMPT RATE per night, which includes 15.01% tax
Occupancy
Full-Rate
Per Person
1 Person
$138.01
$138.01
2 Persons
$143.77
$71.89
3 Persons
$149.51
$49.84
4 Persons
$155.27
$38.82
To confirm reservations we require a guarantee by major credit card, purchase order or a check for one night’s deposit. Invoices can
be provided upon request.
Check# and Amount
(Check deposits must be received in advance)
Purchase Order# and instructions
(Copies of Purchase Orders must be submitted to the Galt House)
Charge Card Name:
Charge Card #:
Expiration Date: