Educational Experiences Tickets Only Program Application

Name of School:

Name of Teacher

Address:

City:

State:

Zip:

County:

Office Number:

Cell Number:

Spring Break Dates:

Email Address:

Name of Principal:

Preferred Destination:
Number of Days and Nights:

Number of expected Participants

Students:

Chaperones:

Teachers:

Total:

Grade Level:

Package Desired: Dining
Theme Park Tickets
Custom Itinerary

Length of Stay: Day Trip
1 Night 2 Nights
3 Nights 4 Nights

Method of Travel: Air
Bus

1st and 2nd Destination Choice:

Atlanta, Georgia
New York City, New York
Orlando, Florida
Philadelphia, Pennsylvania

Savannah, Georgia
St. Augustine, Florida
Washington D.C.
Williamsburg, Virginia

Other

Date of Arrival:
Date of Departure:

Estimated Time of Arrival:
Estimated Time of Departure:

Sponsors Signature

Date:

Travel Planner Company Name:

Travel Planner Name:

Company Address:

Planner's Phone Number: