Fillable Mohawk Valley Community College Trip Registration Form (Mohawk Valley Community College)

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Mohawk Valley Community College Trip Registration Form (Mohawk Valley Community College)

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Mohawk Valley Community College
Trip Registration Form
Name of Club/Organization ___________________________________________________________________________________
Dates of Trip __________________________________________ to __________________________________________________
Name of Trip Leader ____________________________________ Telephone # _________________________________________
Address ____________________________________________________________________________________________________
Time of Departure ______________________________ am/pm From:_______________________________________________
Time of Return _________________________________ am/pm To: ________________________________________________
Sign-up Begins ______________________________________________________________________________________________
Cancellation: If the trip is cancelled it will be done by _____________________ am/pm on ______________________________
Cost per person $ _________________________________ Deposit due at sign-up _______________________________________
Purpose of Trip: _____________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Itinerary (Routes to be taken, places to be visited, motel/hotels [include telephone numbers] ultimate destination):
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Method of Transportation:
Public: Yes No If Yes, Name of Company __________________________________________
Private: Yes No If Yes, Fill out reverse side
College: Yes No If Yes, Fill out reverse side
Acting for the above named club/organization we certify that this is an activity of and by this group. It was discussed and
voted on by the group at their meeting on _______________. We are cognizant of the Colleges policy on trips and agree to
adhere to it.
__________________________________ _________ _________________________ ____________
Trip Leader Signature Date Advisor Signature Date
************************************************************************************************************
BUDGET WORKSHEET FOR FIELD TRIPS
EXPENSES/FUNDING (List all expenses covered in the cost of the trip. Funding is actual money from
your group’s budget, Field Trip Committee, private account, etc. See #2 below.)
ITEM FUNDING SOURCE APP’D
Travel $_________ __________ _____________ _______
Lodging _________ __________ _____________ _______
Food _________ __________ _____________ _______
Fees _________ __________ _____________ _______
Tolls _________ __________ _____________ _______
Parking _________ __________ _____________ _______
Miscellaneous _________ __________ _____________ _______
_________ __________ _____________ _______
_________ __________ _____________ _______
_________ __________ _____________ _______
_________ __________ _____________ _______
_________ __________ _____________ _______
TOTAL (A) $_________ (B) __________
Total (A) $ _______________
Minus (B) _______________
Balance $ _______________
PRICE OF THE TRIP: What is the minimum number of paid participants needed to have the trip? ________
Number of Participants ______ divided by Balance = Per Person Cost $ ______
Per Person Cost $ ______ x ______ Participants = (C) $ ______
(B) $ ______ + (C) ______ = (A) $ ______
Guests will be charged an additional $ ______
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Mohawk Valley Community College Trip Registration Form (Mohawk Valley Community College)

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Completed 3 February 2021

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