* 1. Please complete the following:

* 2. How many students from your school will be participating in the 2017 ANHE program?

* 3. Does your school require that you attend as a chaperone for the student(s)?

* 4. What is your ensemble preference (we will try and honor all requests)?

* 5. Please list your previous chaperone experience:

* 6. Have you previously chaperoned your All-State Festival?

* 7. Have you previously chaperoned the All-National Honor Ensembles?

* 8. I will be able to arrive at the Walt Disney World Coronado Springs Resort in Orlando, FL by 11:30 AM EDT.

* 9. I will be able to stay at the Walt Disney World Coronado Springs Resort in Orlando, FL from Sunday, November 26th until the ANHE concerts conclude at 12:00 PM on Wednesday, November 29th.

* 10. Are your background clearances currently on file with your school?

* 11. I agree to chaperone a group of 20 students.

* 12. I agree to pay the $250 chaperone fee.

* 13. Please provide two references who can speak on behalf of your chaperone experience:

* 14. Please add any additional information.

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