Cedar Point Trip Payment Form Cost: $80 no later than May 27th I will be at the band banquet
SENIORS must pay with a check but will receive the check back if they attend. Cannot use student account for seniors Student Name: Cash Enclosed
Cash Amount: $
Check Enclosed* Check Amount: $ *All checks payable to: HFII IMB Student Account Deduction:
Check #
Deduction Amount: $
Parent’s Signature: (REQUIRED FOR STUDENT ACCOUNT DEDUCTION)
Received by:
Date:
Send forms and payments to: Debbie Zielinski 15310 Brandy Ln Macomb MI 48044 (
[email protected] for questions) or give them to her at the Band Banquet. They can also be given to Mr. Schoenherr.
*This form must be turned in with the Trip Authorization Form*