FINANCIAL RESPONSIBILITY AGREEMENT

 

The cost of the trip to Gatlinburg is $375.  The payments will be made in three installments.  Below you will find a list of payment dates and the amounts due on those dates. Please be sure not to miss any payments. If you miss one payment your seat or seats will be forfeited.  THERE WILL BE NO EXCEPTIONS!

 

 

            lst Payment                   $125                1/07/03

            2nd Payment                $125                2/07/03

            3rd Payment                 $125                3/07/03

 

 

When making a payment clearly write on your check or on a piece of paper when paying cash which installment payment you are paying.  Clearly write the student’s name at the bottom of the check, place it in an envelope and put it in the locked box in the band room.  You may make a payment at anytime on or before the due date.  Payments will be removed daily from the box.  If you have money in your student account and are using it to make a payment please fill out the appropriate form stating the amount you would like to pay.  Use the attached form requesting payment to come out of your account. This form requires both a student and parent’s signature.  This form must also be turned in on time.  Mrs. Hernandez cannot transfer any money as an installment payment without the appropriate form being filled out.  You may contact Mrs. Hernandez to find out what your balance is in your account.

 

 

 

 

I agree that, as the parent/guardian of (STUDENT NAME) _______________________________________________, I will be 100% financially responsible for any funds needed to house, feed, and/or transport the above named student in the event of an emergency (i.e. stranded due to road closures, inclement weather, etc.).  If the Band Booster Organization should provide any funding for the above named student due to the event of an emergency, I agree to fully reimburse the Band Booster Organization upon my child’s return.

 

Please sign below and return THIS PAGE to Mr. Greco as soon as possible.

 

______________________________________________________________________________

(PARENT/GUARDIAN SIGNATURE)                                                                                                              (DATE)

 

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(PARENT/GUARDIAN NAME – PLEASE PRINT NEATLY)                                                                         (DATE)

 

 

 

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