Registration Form – Fall 2009-Winter 2010 (Fall 2009)
Day Trips, Concerts, & Shows
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| Newport Mansion & Railway - 11/22 | $95. |
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| Yankee Candle Village - 11/28 | $89. |
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Edaville Railroad USA - 12/5 |
$95. |
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| Bright Nights - 12/12 | $85. |
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Providence Bruins vs. Worcester Sharks-1/9 |
$95 |
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Wicked - 1/10 |
$139. |
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Monster Mini Golf & Chateau - 1/23 |
$89. |
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Disney on Ice's Princess Classics - 1/31 |
$99. |
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Foxwoods Casino - 2/6 |
$89. |
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Day Trips, Concerts, & Shows
| Cape Cod Weekend - 3/6 - 3/7, 2010 | $349. |
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| Boston Weekend - 9/11 - 9/12, 2010 | $389. |
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Big Trips 2009 & 2010
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Disney Magic Cruise - 7-day - 12/12 - 12/19 MINIMUM $500. Deposit to Reserve Spot |
$2189. |
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Caribbean Cruise - 1/4 - 1/8, 2010 MINIMUM $500. Deposit to Reserve Spot |
$1389. |
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Texas - 1/25 - 1/29, 2010 MINIMUM $500. Deposit to Reserve Spot |
$1679. |
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Disney Deluxe - 2/1 - 2/5, 2010 MINIMUM $500. Deposit to Reserve Spot |
$1549 |
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Hawaii - 2/6 - 2/13, 2010 <NEW DATES> MINIMUM $500. Deposit to Reserve Spot |
$2595. |
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Norwegian Gem - 3/6 - 3/13, 2010 MINIMUM $500. Deposit to Reserve Spot |
$1849. |
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Red Sox Spring Training -MARCH 2010 DATES TBD MINIMUM $500. Deposit to Reserve Spot |
$1589. |
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England & Scotland - 4/3 - 4/10, 2010 MINIMUM $500. Deposit to Reserve Spot |
$2795. |
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SUBTOTAL |
$ |
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Amount Paid |
$ |
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TOTAL |
$ (minus amount paid) |
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Please Send a Payment Plan (for trip costing over $500.) |
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Name |
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Age |
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Sex |
M F |
Date of Birth |
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Address |
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City |
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State |
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Zip |
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Phone |
()- |
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Parent/Guardian Name Emergency Contact # ()- |
Participant, on his/her own behalf
and on behalf of his/her heirs, in consideration of his/her participation in
Trips R Us programs and activities, hereby
agrees to release, defend, indemnify and to hold harmless Trips R Us, Ltd, its officers, directors, shareholders, employees, and agents from and against
any and all damages, claims, demands, suits, judgments, and costs, including reasonable attorney's fees, costs and expenses, for or on account of any
bodily or other personal injury, damage to property of which he/she now has or shall ever have as a result of his/her participation in said Trips R Us
programs and activities. In the event my emergency contacts are unable to be reached, I hereby consent and authorize Trips R Us, it employees and/or
agents to authorize medical treatment on my behalf in the case of an emergency, including the release of any and all personal and medical information
necessary for any such treatment intending to grant the authority to act for me in all matters as fully and effectually as I might do if able to do so.
Parent/Guardian Signature ___________________________________ Date _____________________
Client Signature (if over 18) ___________________________________ Date _____________________
Make
Checks Payable To:
Trips R Us