Registration Form – Spring & Summer 2010 (Spring 2010)
Day Trips, Concerts, & Shows
| Canobie Lake Park - 7/10 | $95. |
|
|||
| Paw Sox vs. Syracuse Chiefs - 7/11 | $95. |
|
|||
|
|
$99. |
|
|||
|
Fenway Day & Jerry Remy's - 7/25 |
$99. |
|
|||
| Bowzer Doo Wop Party - 7/31 | $119. |
|
|||
|
Duck Tour & Fire + Ice - 8/1 |
$99. |
|
|||
|
Beach Boys - 8/7 |
$119. |
|
|||
|
Red Sox vs. Toronto Blue Jays - 9/19 |
$115. |
|
|||
|
|
Weekend Getaways & Summer Vacations
| Cape Cod Classic - 6/21 - 6/25 | $859. |
|
|||
| Coastal Maine - 7/5 - 7/9 | $889. |
|
|||
| Vermont - 7/12 - 7/16 | $889. |
|
|||
| Roller Coaster Dudes - 7/19 - 7/23 | $869. |
|
|||
| New Hampshire - 8/30 - 9/3 | $849. |
|
|||
Big Trips 2009 & 2010
|
Red Sox & San Francisco - 9/8 - 9/12 MINIMUM $500. Deposit to Reserve Spot |
$1689. |
|
||||
|
Bermuda Cruise - 9/17 - 9/24, 2010 MINIMUM $500. Deposit to Reserve Spot |
$1889. |
|
||||
|
Dollywood, Elvis, Titanic - 10/18 - 10/22, 2010 MINIMUM $500. Deposit to Reserve Spot |
$1589. |
|
||||
|
Disney, Universal, & Sea World-11/8-11/12, 2010 MINIMUM $500. Deposit to Reserve Spot |
$1589. |
|
||||
|
Western Caribbean Cruise-12/12-12/18, 2010 MINIMUM $500. Deposit to Reserve Spot |
$1789. |
|
||||
|
Australia - 1/8 - 1/15 MINIMUM $500. Deposit to Reserve Spot |
$3589. |
|
||||
|
Disney Deluxe - 1/31 - 2/4 MINIMUM $500. Deposit to Reserve Spot |
$1649. |
|
||||
|
Hawaii - 2/12 - 2/19 MINIMUM $500. Deposit to Reserve Spot |
$2595. |
|
||||
|
Norwegian Jewel Cruise - 2/27 - 3/6 MINIMUM $500. Deposit to Reserve Spot |
$1849. |
|
||||
|
Red Sox Spring Training -MARCH 2011 DATES TBD MINIMUM $500. Deposit to Reserve Spot |
$1589. | |||||
|
|
___________________________________________________
|
SUBTOTAL |
$ |
|
Amount Paid |
$ |
|
TOTAL |
$ (minus amount paid) |
|
Please Send a Payment Plan (for trip costing over $500.) |
|
Name |
|
Age |
|
Sex |
M F |
Date of Birth |
|
Address |
|
City |
|
State |
|
Zip |
|
|
Phone |
()- |
|
|
|
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