Washington DC Trip Info - March 2025
Please read and answer the following questions carefully, as this information will be used for the airline manifest and other official documents. All students, chaperones, and faculty should fill out this form. 
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Email *
Please enter your full, legal FIRST name (as it appears on your birth certificate) *
Please enter your full, legal LAST name (as it appears on your birth certificate) *
Please enter your full, legal MIDDLE name (as it appears on your birth certificate). *
If you have no middle name or initial, please type "none". If you have a full middle name, please write that. If it is just an initial, please write that. Whatever is identical to your birth certificate.
Gender *
Date of Birth - Month *
Please answer NUMERICALLY (January = 1, etc.)
Date of Birth - Day *
Please answer NUMERICALLY (January = 1, etc.)
Date of Birth - Year *
Please type the complete year (ex: 1989 or 2002)
School *
If you're a chaperone - please put the school that your child attends
Year in School *
Glenbrook School ID *
Chaperones and Directors please write "none"
Which ensemble are you performing with on this trip? *
What is your primary instrument(s) on this trip
If you are playing 1 or more instruments on the trip, please list them all
What is your cell phone number? *
Preferred Email Address *
The one you will ALWAYS check for important trip information.
STUDENTS: Emergency Contact Name
Chaperones will fill this out below
STUDENTS: Emergency Contact Cell Phone #
Chaperones will fill this out below
Parent/Guardian Last Name *
Chaperones/Directors please put Emergency Contact name here
Parent/Guardian First Name *
Chaperones/Directors please put Emergency Contact name here
Parent/Guardian Cell Phone Number *
Chaperones/Directors please put Emergency Contact cell phone number here
Parent's Email Address 1 *
Chaperones/Directors please put Emergency Contact email address here.
Parent's Email Address 2
Chaperones/Directors please put Emergency Contact email address here.
T-Shirt Size *
Please list ALL food allergies and/or dietary restrictions below *
If none, please write "none"
Do you have any medical issues of concern for this trip? *
If none, please write "none"
Is there anything else you'd like us to know?
By checking this box, I understand that this form indicates my commitment to the Spring Break 2025 Orchestra/Jazz Trip to Washington DC. *
Required
Please type name for Electronic Signature *
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