2. 
4. 
   

   You will be redirected to PayPal for payment processing.
   
   

   A PayPal account is not required. For non PayPal accounts, please scroll to bottom of the PayPal header page to make a general payment 

   Make payment with major credit card.

   Waukegan Township will add your payment to the list of Paid Attendees.

   * Credit card payments may also be made via telephone by calling 847-244-4900.

   * Checks may be sent to the Patricia A. Jones Center, 414 S. Lewis Ave, Waukegan, IL 60085. (Ref PAJC Trips).

6. 

8. TRIP REGISTRATION

10. 
12. Day Travel: Full Payment Due with Registration
13. Overnight Travel: Deposit Due with Registration
15. Registration will guarantee your spot. More paperwork may be required. A Patricia A. Jones Center staff member will contact you within 72 hrs for more information.
19. Name*
20. Nickname
22. Address*
24. City*
25. State*
26. Zip Code*
28. Email Address
29. Phone Number*
31. Other Email
33. Trip*
34. Date*

38. ADDITIONAL GUEST INFO
    (For Day Trips Only. Please contact the PAJC for 4 or more guests)

40. Guest 1 Name:
41. Guest 2 Name:
43. Guest 3 Name:
44. Guest 4 Name:

48. EMERGENCY CONTACT INFORMATION

50. Emergency Contact Name
51. Emergency Contact Number
55. DAY TRIPS ONLY!
56. Cancellation Policy: For Local Trips Only!!!! Refunds are not available for cancellations that occur two weeks or less before the program date unless replacement registrations are secured.
58. OVERNIGHT TRIPS ONLY!
59. Cancellation Policy: For Long Term Travel!!!! Please contact the Patricia A. Jones Center for specific trip policy.
63. 

65. DAY TRIPS

    (Note: Please include payment for all guests)

67. ==============================================================================================================================

69. Cuisine Cafe' MAAX Asian BBQ - 2/23/26
    Per Person
70. Price
71. Quantity
72. Shipping Cost
74. Milwaukee Art Museum - 3/11/26
    Per Person
75. Price
76. Quantity
77. Shipping Cost
79. Taxable
80. Taxable
82. 

84. OVERNIGHT TRIPS

86. Overnight Guest Registration/Rooming With:
    * Please contact the Patricia A. Jones Center to register 2 or more guest.

88. ==============================================================================================================================

90. First Name
91. Last Name
93. Address
95. City
96. State
97. Zip Code
99. Phone Number
100. Email Address

102. You will be redirected to PayPal for payment processing.

     A PayPal account is not required. For non PayPal accounts, please scroll to bottom of the PayPal header page to make a general payment 

     Make payment with major credit card.

     Waukegan Township will add your payment to the list of Paid Attendees.

     * Credit card payments may also be made via telephone by calling 847-244-4900.

     * Checks may be sent to the Patricia A. Jones Center, 414 S. Lewis Ave, Waukegan, IL 60085. (Ref PAJC Trips).

Leave This Blank:


105. Calculate Totals Proceed to Checkout

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