2019 Xmas Roxy Shuttle Bone Marrow & Cancer Foundation Christmas Spectacular Radio City Shuttle For 7th, 8th, and 9th Graders Ticket Order Form NOTE: This information must be completed in full for each child for shuttle tickets to be processed. The welfare and safety of all participants in the shuttle is achieved only with your knowledge and participation in this responsibility. Please review these guidelines with your child(ren). Any child who arrives under the influence, suspected to be under the influence, or in possession of alcohol or drugs will not be allowed to use the shuttle, and the parent will be immediately notified. The parent (or responsible adult) will be expected to pick up the child from the meeting point as soon as possible. The child will be looked after by a staff member/chaperone until a parent/responsible adult arrives. In the event of an emergency, if we are unable to reach a parent or responsible adult, the child will be taken by ambulance to the hospital for medical care. Guests will be checked on arrival at Radio City Music Hall. Any and all bags, of whatever nature, will be inspected. The Committee strongly suggests that parents do not send their child in an un-chaperoned limousine, particularly if coming from outside the city. Please make sure that the driver waits until your child has gotten onto the shuttle, and that your child has the limousine company’s telephone number and a number where a parent can be reached that evening. Also check that the limousine does not have a stocked liquor bar. The Bone Marrow & Cancer Foundation is not responsible for any lost or stolen items. The shuttle will arrive back at the meeting point between 9:45pm and 10:00pm. The Bone Marrow & Cancer Foundation cannot assume responsibility for further transportation. Please make prearranged plans with your child. Neither the Committee nor the Bone Marrow & Cancer Foundation is responsible in the event that any accident or injury occurs on the shuttle. *All fields are required.Child 1* School** Grade**Grade*7th Grade8th Grade9th GradeChild's Cell Phone** Responsible Adult’s Name** Responsible Adult's Cell Phone** Email* Meet at East 72nd Street and Park Avenue, Southwest Corner Shuttle departs PROMPTLY at 5:00pm. Shuttle will return to East 72nd Street and Park Avenue between 9:45pm and 10:00pm. Please indicate which shuttle(s) for this child: Shuttle to Radio City, $75 Shuttle from Radio City, $75 Shuttle to AND from Radio City, $150 * This child will be picked up at the shuttle drop-off by a responsible adult. I give permission for this child to leave from the shuttle drop-off on their own. Add another child I have listed all children Child 2* School** Grade**Grade*7th Grade8th Grade9th GradeChild's Cell Phone** Responsible Adult’s Name** Responsible Adult's Cell Phone** Meet at 1234 Main Street. Shuttle departs PROMPTLY> at 5:00pm. Shuttle will return to 1234 Main Street between 9:45pm and 10:00pm. Please indicate which shuttle(s) for this child: Shuttle to Radio City, $50 Shuttle from Radio City, $50 Shuttle to AND from Radio City, $100 * This child will be picked up at the shuttle drop-off by a responsible adult. I give permission for this child to leave from the shuttle drop-off on their own. Add another child I have listed all children Child 3* School** Grade**Grade*7th Grade8th Grade9th GradeChild's Cell Phone** Responsible Adult’s Name** Responsible Adult's Cell Phone** Meet at 1234 Main Street. Shuttle departs PROMPTLY> at 5:00pm. Shuttle will return to 1234 Main Street between 9:45pm and 10:00pm. Please indicate which shuttle(s) for this child: Shuttle to Radio City, $50 Shuttle from Radio City, $50 Shuttle to AND from Radio City, $100 * This child will be picked up at the shuttle drop-off by a responsible adult. I give permission for this child to leave from the shuttle drop-off on their own. Add another child I have listed all children Child 4* School** Grade**Grade*7th Grade8th Grade9th GradeChild's Cell Phone** Responsible Adult’s Name** Responsible Adult's Cell Phone** Meet at 1234 Main Street. Shuttle departs PROMPTLY> at 5:00pm. Shuttle will return to 1234 Main Street between 9:45pm and 10:00pm. Please indicate which shuttle(s) for this child: Shuttle to Radio City, $50 Shuttle from Radio City, $50 Shuttle to AND from Radio City, $100 * This child will be picked up at the shuttle drop-off by a responsible adult. I give permission for this child to leave from the shuttle drop-off on their own. Order SummaryTotal $0.00 All tickets are non-refundable.Pay by Credit Card Check By clicking “Continue” below, I acknowledge that I am the parent or guardian of all children described above – or that I have the authority of their parents or guardians, and grant permission for my child to use the shuttle to Radio City pursuant to the rules described above, and the information provided.
