2023 Senior Disney World Trip Registration and Payments

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WALT DISNEY WORLD ~ SENIOR TRIP 2023

Please complete the form below. In order to reserve a spot on the trip, this registration must be completed and one of the payments must be submitted by the deadline(s). No refunds will be issued for this trip AFTER Sept 1, 2022. Final arrangements and deposits have to be paid to Walt Disney World, bus service, etc. You have the convenient choice to pay with a credit card now or you can pay by check, but payments will need to be made by the dates below. One form per student.

Required fields marked with an asterisk *

STUDENT INFORMATION

Student First Name*

Answer Required

Student Last Name*

Answer Required

Student Email *

Answer Required

PARENT INFORMATION

Parent First Name*

Answer Required

Parent Last Name*

Answer Required

Parent Email *

Answer Required

Parent Phone Number*

Number Required

Payment(s) will be made by check or credit card?*

Answer Required

CHECK / CASH (see instructions below)

CREDIT CARD / DEBIT CARD (complete payment below)

PAY BY CHECK -- make your choice below, print page and submit with payment

Answer Required

OPTION 1: One (1) payment of $900.00 -- due on or before June 6, 2022

OPTION 2: Two (2) payments of $450.00 -- 1st payment due June 6, 2022

OPTION 2: Two (2) payments of $450.00 -- 2nd payment due Feb 1, 2023

OPTION 3: Four (4) payment of $225.00 -- 1st payment due June 6, 2022

OPTION 3: Four (4) payment of $225.00 -- 2nd payment due Sept 1, 2022

OPTION 3: Four (4) payment of $225.00 -- 3rd payment due Dec 1, 2022

OPTION 3: Four (4) payment of $225.00 -- 4th payment due Feb 1, 2023

PAY BY CREDIT/DEBIT CARD--make your choice below, enter payment info and submit

Answer Required

$900.00 - OPTION 1: One (1) payment of $900.00 -- due on or before June 6, 2022

$450.00 - OPTION 2: Two (2) payments of $450.00 -- 1st payment due June 6, 2022

$450.00 - OPTION 2: Two (2) payments of $450.00 -- 2nd payment due Feb 1, 2023

$225.00 - OPTION 3: Four (4) payment of $225.00 -- 1st payment due June 6, 2022

$225.00 - OPTION 3: Four (4) payment of $225.00 -- 2nd payment due Sept 1, 2022

$225.00 - OPTION 3: Four (4) payment of $225.00 -- 3rd payment due Dec 1, 2022

$225.00 - OPTION 3: Four (4) payment of $225.00 -- 4th payment due Feb 1, 2023

Name of School

Please fix the highlighted areas below before submitting.

2023 Senior Disney World Trip Registration and Payments