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6th Grade Medieval Times Trip 6/17/25

Please complete the form below. Required fields marked with an asterisk *

Medieval Times Payment Form

In order to attend the trip you must meet the criteria outlined on the permission slip, sign and return the slip to your teacher.

If you have any issues please contact Ms. Hertz at [email protected]

Student's First Name*

Answer Required

Student's Last Name*

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Parent or Guardian's First Name*

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Parent or Guardian's Last Name*

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Email*

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Phone Number*

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Quantity

Trip Payment

Price: $60.00

Confirmation Email

Confirmation Email *

Email Required