BetaCon21 National Travel Plans MUSIC CITY here we come!!!LHS Beta will travel June 30- July 5. The following form is required for every individual attending with LHS beta by December 17th. Any individual planning to attend through July 5th and going on the Fourth of July Dinner Cruise will also need to pay their $150 deposit by the December 17th. If you plan to leave the morning of the fourth, then your $150 deposit by January 30th.ALL PRICES ARE ESTIMATES Beta in a club room, full trip, $775 Beta in a club room, leaving 7/4 $650 Beta in a family room, full trip, $485 Beta in a family room, leaving 7/4, $355***Betas traveling to and from convention on the bus MUST stay until 7/5. Betas will only be able to leave on 7/4 with THEIR OWN PARENT providing the transportation.*** Name (as it appears on your picture ID)*FirstLast NoticeIf you are not a member of the LHS beta club, please enter the name of the beta you are associated with. This will help with grouping families and guests. All accounts are in the name of a beta member or sponsor. Please list the name of the Beta member/sponsor you are traveling with. *FirstLast Personal Cell Phone* Area Code - Phone Number (555-5555) Email* Email confirmation* Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year T Shirt Size*X SmallSmallMediumLargeX Large2X Large3X Large4X Large5X Large Convention Registration (included for betas/chaperones, $25 for all attendees)*Beta SponsorBeta MemberChaperone (final list of chaperones will be 2/18)Guest (family member) Hotel Accommodations*Beta in a club room (leaving 7/5)Beta in a club room (leaving 7/4)Beta in a family room (leaving 7/5) Beta in a family room (leaving 7/4)Family member in a private room (leaving 7/5) $975Family member in a private room (leaving 7/4) $780Chaperone in a club (leaving 7/5)Sponsor Room (leaving 7/5)Family member booking their own accommodations Travel Plans (included for betas, $40 for guests)*Traveling with the Club (Bus) Traveling in a POV (betas with parents only) Park/Entertainment Packages (betas staying until 7/5 must choose the cruise)*NoneGeneral Jackson Dinner Cruise, Waterpark, & Wild Horse ($225)Waterpark & Wild Horse ($90)General Jackson Cruise only ($140) Additional Purchases (choose all that apply)*NoneConvention (Nashville) Shirt (free to betas, $20 for guests)LHS Club trading Pin (1 free to betas, $5 each for guests)Convention Pin ($5 per pin) I understand that LHS beta will register for BetaCon22 on March 1st and I cannot receive a refund beyond that date, and that I will only receive the funds that can be recovered at that point in time. I agree to pay the cost of this trip in full on or before the last day of school, May 20, 2021. I understand that a minimum of $150 of credit is required on my account by February 1st to be eligible to attend.*Select valueyesno I understand that travel during COVID will look different and agree to cheerfully follow any and all safety and health guidelines asked of me by Lexington High School, National Beta, any travel companies, or businesses that I may enter. I accept that there is a risk to travel during this time and I accept those risks. I will not hold Lexington High School, Henderson County School District, National Beta Club or any other organization or individual related to this trip liable for contracting COVID during this trip.*Select valueyesno I give Lexington High School Beta permission to use my image (or that of my child) on social media, school publication, website, or local media while attending this event for the purposes of public relations.*Select valueyesno I recognize that I am attending this event as a representative of Lexington High School and agree to follow all rules of conduct set forth by Lexington High School, Beta Club, or its sponsors. As a beta, I understand that failure to do so may result in my being sent home early from this event at my own expense and losing the privilege of future travel with LHS Beta. As a chaperone, I recognize that failure to comply with behavior standards will result in the inability to chaperone future events. *Select valueyesno Word VerificationSubmitReset