SAB Carnegie Art Museum Trip March 22, 2025

This form is ONLY for Credit Card payments of Student Activities Events. If you need to pay with cash, you must go to Student Engagement to sign up. This form is only valid when completed with a credit card payment.

Upon submission of form and credit card payment there are NO REFUNDS.

The Student Activities Board will be sponsoring a trip to the Carnegie Art Museum on Saturday March 22, 2025. The vans will leave from the Stover Parking Lot at 1:00pm. The cost per ticket for students is ONLY 5$

If making a payment in Cash, you must come to student services to complete the form and make cash payment.

Name of Student Participating in Event Name of Student Participating in Event First Last
Name on Credit Card if Different than the Name Above Name on Credit Card if Different than the Name Above First Last
Select Credit/Debit Card Type

Select Credit/Debit Card Type Visa Mastercard Discover American Express STOP! If you do not have a credit card, you must sign up in Student Services with a cash or check payment. DO NOT complete this form.
Email address
Phone Number Phone Number - ### - ### ####
ID Number
I acknowledge that I MUST take the provided Waynesburg University Transportation

I acknowledge that I MUST take the provided Waynesburg University Transportation Yes No
By signing here you understand the following:

- Due to the limited number of tickets for this event, if you are unable to attend you MUST find a STUDENT replacement (you can check with the office to see if anyone is on the wait list). If no STUDENT replacement can be found, you will be responsible for paying the "full ticket price."

-This is a University sponsored event. Therefore, ALL University polices must be followed and will be enforced.

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I understand this is a legal representation of my signature. Clear

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FOR OFFICE USE ONLY