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Buena Park 2010 American Heritage Eighth Grade Student Tour Application Passenger Name____________________________________________________ (Print name as it appears on picture ID) Student__ (M or F) and / or Adult __(M or F) Parents Name _____________________________________________________ Home Address_____________________________________________________ City______________________________ Zip Code ___________________ Home Phone (_____) __________________ Work Phone (______) ____________________________ Cell Phone (______)____________________ E.mail_________________________________________ Alternative Emergency Contact Person ____________________________________________________ Relationship___________________________ Home Phone (______)____________________________ Work Phone (_______)_______________________Cell Phone (_______)_____________________________ A non-refundable deposit of $250.00 per person is due to reserve space. Final payment is due by March 26, 2010. Cancellations after final payment due date are non-refundable. A $200 penalty will be added for final payments after due date unless arrangements are made in advance. Failure to make final payment by May 7, 2010 will result in cancellation and forfeiture of all payments. Trip cancellation insurance is available and highly recommended. RESPONSIBILITY Slotsy Tours and Travel, Inc., Fullerton, CA acts only as an agent for the various transportation, hotel, sightseeing and/or service companies used, all of whom are disclosed principals. Slotsy Tours and Travel, Inc. can not be held responsible for loss, damage, or injury occasioned by neglect, default, or failure of any companies or persons engaged in conveying the tour other than those persons employed by Slotsy Tours and Travel, Inc. Slotsy Tours and Travel, Inc. can accept no responsibility for losses or additional expenses due to delay or change in transportation or other services, sickness, weather, strike, war, or other causes. Slotsy Tours and Travel, Inc. reserves the right to accept, decline, or to retain any person as a member of this tour at any time. There is no refund for unused services. The right is reserved to alter this program to accommodate unforeseen developments. I understand that the pricing and operation of this tour program is dependent upon a minimum number of participants. All prices are in US dollars and reflect pricing at the time of booking. Slotsy Tours and Travel Inc. reserves the right to adjust the price to reflect price increase from service providers. ______________________________________ and / or __________________________________ Signature, Legal Guardian of Student Signature of Adult Tour Member Date: ____________________________ Please read and keep the page for further reference I am aware that my son/daughter has made a reservation for, and is going on, a tour arranged by Slotsy Tours and Travel, Inc. I am further aware that arrangements made by Slotsy Tours and Travel, Inc. (hereafter referred to as "agent") include air transportation, motorcoach touring, hotel accommodations and admission to attractions specifically listed in the trip itinerary. It is my understanding that Slotsy Tours and Travel, Inc. is acting only as an agent for the various transportation, hotel, and sightseeing and/or other service providers. I agree that any activity on the part of my son/daughter that would be hazardous or detrimental to him/her or any other person, or to the group as a whole, will be grounds for his/her return to the city of departure by the most convenient method of transportation available at my full expense. I agree that if the agent expends any monies to return my son/daughter to the city of departure because of his/her behavior, accident or illness, I will immediately reimburse the agent for said expenditures. I agree that I am also responsible for any damages caused to private property by my son/daughter during this trip. In consideration of granting my child permission to travel with the agent, on behalf of myself and the minor, I hereby waive all rights to claim damages against, and release from all liability, the personnel and officials of the agent. I hereby assume all risks that might be inherent in this activity. Slotsy Tours and Travel, Inc. acts only as an agent for the various transportation, hotel, sightseeing and/or other service companies used, all of whom are disclosed principles. It cannot be held responsible for loss, damage, or injury occasioned by neglect, default, or failure of any companies or persons engaged in conveying the group. Agent can accept no responsibility for losses or additional expenses due to delay or change in transportation or other services, sickness, weather, strike, war, or other causes. Agent reserves the right to accept, decline, or to retain any person as a member of this group at any time. The right to alter this program is also reserved. I understand that should my son/daughter violate the instructions of the tour escort, that he/she will be flown home on the first available flight at my pre-paid expense. All prices are in US dollars and reflect pricing at the time of booking. Slotsy Tours and Travel, Inc. reserves the right to adjust the price to reflect price increases from service providers. Payment and Document Schedule: Initial sign-up $250.00 Non-Refundable Deposit with signed tour application (The deposit of $250 is refundable until the final price for the trip is announced in October or November) Nov. 7, 2009 Second $250.00 payment Jan. 4, 2010 Third $250.00 payment · Medical and Liability forms will be mailed out. These forms must be completed and returned to the agency before departure. · A trip cancellation insurance form will be mailed out. This insurance is optional, it is not part of the tour package. March 26, 2009 Final Payment Due. A $200 penalty will be added for late payments after March 26, 2010 unless prior arrangements are made with theTravel Agency. If total payment is not made by May 7, 2010, passengers name will be removed and no money will be refunded. Slotsy Tours 515 W. Commonwealth Ave. Suite 103 Fullerton, CA 92832 Phone: 714-870-8641 FAX: 714-870-8241 E-mail:
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Web site: www.slotsytours.net CST#1007912-10
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