Butler NYC Parent Chaperone Sign Up Form Placeholder

Butler NYC: Parent Sign Up

Student Name*

First Last

Parent wishing to chaperone name*

First Last

Parent Email*

In order to chaperone the NYC trip, pay the $100 deposit to hold your spot now. After the student sign up period is over, you will be notified via email if there is room for you to attend as a chaperone. If there is not you will be refunded your deposit. If you have questions, you can call Rebecca Green at 724 355 4997

What amount are you paying today?*

Trip deposit is $100 and interim payments are $250.

Will you be paying with check or credit card?*

A 3% convenience fee is added to credit card sales.

Check
Credit Card

Convenience fee

Price: $0.00

Total

$0.00

THIS PAYMENT IS FOR THE BUTLER NYC TRIP PARENT CHAPERONE PAYMENT. If this is not what you wanted, exit out and go to the right page.

When you click Submit, a payment page will display.