Buchanan CHamber Orchestra

SFSU Orchestra Festival Trip Form
Friday, November 2, 2018

Click here to view a trip overview and tentative itinerary.

Student Name *
Student Name
Payment Options *
If you requested financial assistance under ‘Payment Options’ above, please enter the amount you will pay in full by the Trip Payment Due Date. **PLEASE NOTE** The greater the number of requests and/or the amounts requested, the greater the financial burden on our program increasing the risk that the trip may be canceled.
$
We would like to donate the following amount in addition to the trip fee to assist those in need. (Please include this amount in your check or the amount you pay with your credit card. Thank you for your generosity!)
$
Payment Type *
Name on the check or credit/debit card:
Name on the check or credit/debit card:
So we can match the payment to the student.
Please complete the following section if you are interested in chaperoning this trip. Otherwise, scroll to the bottom and press SUBMIT TRIP FORM.
We will contact you if you are selected to chaperone. Chaperones must ride the bus to & from the event and are not required to pay the trip fee.
Chaperone Name
Chaperone Name
Chaperone Mobile Phone
Chaperone Mobile Phone