2021-22 High School Band and Choir Trip

Required

The full cost of the trip will be determined once the airline tickets have been secured. Everyone is required to pay a $430 deposit to secure their spot on the trip.

Student legal namerequired

First Name

Middle (optional)

Last Name

Student date of birth

Must contain a date in M/D/YYYY format

Parent/Guardian primary email addressrequired

Parent/guardian chaperone legal name

First Name

Middle

Last Name

Parent/guardian chaperone date of birth

Must contain a date in M/D/YYYY format

Traveler #1 final balancerequired

Please enter the balance due you received from the EC Business Office.

Traveler #2 final balance if applicable

Please enter the balance due you received from the EC Business Office.

Are you a part of band or choir?

Band

Choir

Payment Information

Please select a payment typerequired

Credit Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year