Want to pay your $100 deposit online?
Click the button below to pay with a credit card (+ 3% fee).
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To pay with a personal check, made payable to Caravan, send with your agreement form to:
CARAVAN
3900 Orchard Hill Drive
Cedar Falls, Iowa 50613
CARAVAN PARENT AND STUDENT AGREEMENT:
___________________________________________
PLEASE PRINT STUDENT NAME CLEARLY
CONTACT AND INSURANCE INFORMATION
(This information must be provided regardless of student’s age)
Please read the following information carefully, and sign below:
| Person(s) to notify: |
_____________________________________________ |
| Phone Numbers: |
_____________________________________________ |
| Insurance Company: |
_____________________________________________ |
| Policy Number: |
_____________________________________________ |
Allergies or other medical information we should be aware of:
________________________________________________________________________________
________________________________________________________________________________
PARENT AGREEMENT
In the event of an emergency where medical treatment is required, I give my permission to the sponsor to obtain the services of available medical personnel. I will not hold the sponsors liable for injury or mishap occurring as a result of this trip. Please attempt to notify me immediately concerning any such emergency.
I have read the Caravan 2008 registration information provided to me, and will allow my child to participate in any or all events and activities offered, and the questions I have regarding Caravan 2008 registration have been answered. I understand that if my child violates the drug, alcohol, and tobacco policy, or some other gross infraction of the stated "Guidelines" or is grossly insubordinate to Caravan authorities, he or she may be sent home at my expense.
| ______________________________________ |
_________________ |
| Parent or guardian signature |
Date |
STUDENT AGREEMENT
I have read and agree to follow the guidelines of Caravan 2008 that are listed on this website and in the Caravan 2008 brochure. I agree to follow the instructions of all adult leaders and understand that if I violate any policy set forth by Caravan, I may be sent home at my parent or guardian's expense.
| ______________________________________ |
_________________ |
| Student participant signature |
Date |
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