Application to attend the trip to the Georgia state Capital. Please print out the following Application and send it to us. You can email it to michaellholmes@yahoo.com

If you have any questions you can email us or call us at: 678 780 1632

Please fill out the following to the best of your knowledge.

Name:____________________________________________

Address:__________________________________________

Phone number:____________________________________

email address: _____________________________________

Parents names : _______________________________________________________,

Parents phone numbers____________________________________________________________

Parents emails __________________________________________________________________

Do you have any special needs or allergies?_______________________________________________________________________

What grade are you going into?

___________________________________

Parent will sign to agree that they will come get their child if the child refuses to stay with the tour guide or disrupts the tour.

Print Parent name:

___________________________________________________________________________

Parent signature:

_______________________________________________________________________

Student will sign to agree to listen to the tour guide, try their best, have fun and stay with the tour guide.

Print student name:

______________________________________________

Signature of student:

______________________________________________