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VAMOS A
PUEBLA, MEXICO
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 3
Please make a selection, check all that apply:
*
Pay for my child to experience Puebla, Mexico
Select a Payment Plan for the trip
Sponsor the trip of another student
Sponsor a passport for another student
Make a donation to support the students on their trip.
Next
Does your family qualify for free or reduced lunch?
Make a Selection
YES
NO
I would like to pay the full amount today (please check the box):
Trip to Puebla, Mexico - $ 150.00
I would like to pay the full amount today (please check the box):
Trip to Puebla, Mexico - $ 400.00
Does your family qualify for free or reduced lunch?
Make a Selection
YES
NO
I would like to make a partial payment (please check the payment you are making)
Partial Payment 1 Due No Later than October 28, 2022 - $ 75.00
Final Payment Due no later than December 2, 2022 - $ 75.00
I would like to make a partial payment (please check the payment you are making)
Partial Payment 1 Due No Later than October 28, 2022 - $ 200.00
Final Payment Due no later than December 2, 2022 - $ 200.00
I would like to sponsor the trip of another student:
Make a selection
One Student - $ 150.00
Two Students - $ 300.00
I would like to sponsor a passport for another student:
Make a selection
One Student - $ 130.00
Two Students - $ 260.00
I would like to make a donation to support the trip (please enter desired amount):
Next
Name (Sponsor, Donor, Parent or Guardian)
*
First
Last
Preferred Email (Sponsor, Donor, Parent or Guardian)
*
Preferred Phone Number (Sponsor, Donor, Parent or Guardian))
*
Child's Name
First
Last
Please list any comments or questions you may have:
Total
$ 0.00
Payment
Stripe Credit Card
*
Submit
×