Echo Enrichment Center

a place for all ages and abilities

Echo Enrichment Center Community Outing Enrollment Form

Participant's Name___________________________________________________________Contact Number_____________________________________

Trip Name/ Date__________________________________________________________________$________________________________

Trip Name/Date___________________________________________________________________$________________________________

Total Due $________________________________

Echo Enrichment Center Policies

Payment----Full payment is due prior to the trip in the form of cash (receipt given) or check made out to

Echo Enrichment Center. Payment and registration form may be mailed or dropped off to Echo Enrichment

Center At 9R Bedford Street, Burlington, MA 01803.

Cancellations and Refunds----Full refunds will be given if notice comes in writing two weeks prior to the

trip. If trip involves the purchase of tickets, we can not fully refund the cost of the trip unless a replacement can be found to participate. We have the right to cancel a trip due to low enrollment. A full refund will be given if a trip is cancelled due to low enrollment.

Drop Off/Pick Up----Participants are expected to be dropped off and picked up at the specified time. If

transportation is late, a phone call to Echo is expected. Please let us know at drop off who will pick up.

Please alert us to any changes in the plan with a call to Echo.

I,____________________________________________________have read the above policies of Echo Enrichment Center. I

understand that if cancel and I do not give two weeks notice in writing prior to the trip, I can not

receive a refund.

Parent/Guardian Signature________________________________________________________________Date:__________________________

Participant Signature (if over 18)_________________________________________________________Date:_________________________