School Name:
Address:
City: State: Zip:
Senior Sponsor Name:
Sr. Sponsor Email:
Office Phone (please include area code):
Best Time to Call:
Office Fax:
Sr. Sponsor Home Phone*:
Cell Phone*: (* for emergency use only)

Number of Expected Participants:
Teachers
Chaperones
Students
Total

Number of Buses:

We will attend Grad Bash on:

	April 23, 2010 (SOLD OUT)
	April 24, 2010 (SOLD OUT)
	April 30, 2010 (Limited Space Available)

We will attend:	Pre-Party at CityWalk® (SOLD OUT)
	MardiGras Pre-Party (Limited Space Available)

Select Travel Package: -
(Information about these packages can be found on the Travel Packages page.)

Port of Entry (Grad Bash only)
Revenge of the mummy (Grad Bash + MardiGras Pre-Party)
Incredible Hulk (Grad Bash + Citywalk® Pre-Party)
Universal T2 (Grad Bash, 1 hotel night, Universal Studios ®, or Islands of Adventure ®, or Sea World ® Orlando, or Busch Gardens Tampa Bay ®)

Have you ever worked with us before? Yes No
If so, who was your coordinator?