<p> DATE/TIME ACTIVITY ADDITIONAL INFORMATION Wednesday, March 16, 2016 Meet after A lunch to depart for Florida Via motorcoach 11:00 am Arrival at hotel</p><p>Thursday, March 17, 2016 Breakfast included At hotel ® Disney Park Hopper includes Magic KingdomPark, Disney Theme Park time ® Epcot , Disney’s Hollywood Studios™, and Disney’s Animal ® Kingdom Theme Park Disney Dining Card Lunch included Disney Dining Card Dinner included Friday, March 18, 2016 Breakfast included At hotel Universal Orlando 1 Day/2 Park ticket to Universal Studios Resort and Islands of Adventure Lunch included Universal Meal Voucher Dinner included Universal Meal Voucher Saturday, March 19, 2016 Breakfast included At hotel</p><p>Disney Theme Park time See Thursday for options</p><p>Lunch included Disney Dining Card Dinner included Disney Dining Card Sunday, March 20, 2016 Breakfast included At hotel Checkout and depart for home. Via motor coach *Schedule / Order of events subject to change Estimated Package Price: $797.00 based on a minimum of 35 paid participants per bus, roomed quad Payment Dates: June 5, 2015 ($100), July 5, August 5, September 5, October 5, November 5, December 5—($100 payment each month) January 5, 2016 (Final Balance $97)</p><p>Registration & Payment Form: (all Fields Required) </p><p>Name of School or group you are travelling with: ______</p><p>Traveler Full Legal Name:______</p><p>Mailing Address: ______City: ______State:______Zip Code______</p><p>Male or Female Date of Birth ______Phone Number (______)______Email #1 ______I hereby consent to my child, if under the age of 13, to register at your website www.usastudenttravel.com pursuant to your Terms of Service and Privacy Policy. I further consent to your collection, use and disclosure of my child’s personally identifiable information, pursuant to the terms of, and as fully described in, the Privacy Policy. I hereby consent to the potential for price increases as set forth in §5 and §9. I HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS OF THIS TOUR PARTICIPANT AGREEMENT INCLUDING USE OF PHOTO AND LIKENESS IN ACCORDANCE WITH §17. I ACKNOWLEDGE THAT I HAVE MADE ALL DISCLOSURES IN ACCORDANCE WITH §16. Signature of Legal Guardian/Parent: ______Date: ______Payment Information: : (Make Payable To USA Student Travel) Amount to charge ______ E-Check:  I (we) hereby authorize WORLDPASS TRAVEL GROUP to initiate a debit entry to my (our) Checking Account indicated below at the depository financial institution name below, hereinafter called DEPOSITORY, and to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law. Name on Checking Account ______Checking Account Number ______Billing Zip Code ______Bank Name ______Bank Routing Number ______ Credit Card: Prices reflect a discount for payment by cash (check, e-check, cash, money order). A non-cash payment fee of $15.00 (one time only) will be added to the current cash discounted price when using other forms of payment. Credit Card Number: ______Expiration Date: ______CVC #: ______Billing Zip Code: ______Name of Cardholder (PRINT): ______Signature: ______NOTE: E-Check and Credit card statement charges will appear as WorldPass Travel Group USA Student Travel 5080 Robert J Mathews Parkway, El Dorado Hills, CA 95762. www.USAStudentTravel.com USA Student Travel is a division of WorldStrides.</p>