Disney Summer Explosion Trip 2019

Name of Student: *

Payer's Full Name *

First Name Last Name

Payer's E-mail *

Payer's Phone *

- Area Code Phone Number

PLEASE NOTE: The first $75 installment is REQUIRED in order to secure your spot for this trip! Without payment, you are not guaranteed placement.

TOTAL COST PER STUDENT: $390
Payable in 4 easy installments!

$75 (1st pymt)
$75 (2nd pymt)
$75 (3rd pymt)
$90 (4th pymt)

OR:

$390 (total pymt)

TOTAL:

USD Disney Summer Explosion 2019