SAB Wicked February 11, 2026

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 Theater Trip to see the musical Wicked on Wednesday, February 11, 2026, at the Benedum Center in Pittsburgh. The bus will leave from Miller at 5:00pm. The cost per student is ONLY $20 this is a onetime price due to a generous donation which includes your ticket and transportation.

If making a payment in Cash, you must come to Student Engagement 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, If you are paying with cash, you can sign up but must stop in the Student Engagement office on Monday, January 12, 2026 to confirm you ticket. If not, your ticket will be released. with a cash or check payment. STOP! I have been approved for ACT 101 funding.
Email address
Phone Number Phone Number - ### - ### ####
ID Number
I understand that I will be using Waynesburg University transportation to and from the event.

I understand that I will be using Waynesburg University transportation to and from the event. Yes
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.

Draw or Type

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

Full Name

I understand this is a legal representation of my signature.
FOR OFFICE USE ONLY