This form is for eligible dependent(s) that are not covered by Honda benefits. This form MUST be filled out to ensure $12 ticket(s) will be available at Honda Friends and Family Day.
This form is to be used for:
Step-child(ren) / Foster child(ren)
Foreign exchange student(s)
Associate dependent(s) covered outside of Honda’s benefit coverage
Expatriate/Associate on assignment whose spouse and/or dependent(s) will be attending
This form is NOT for dependents who are no longer benefits eligible. (For example: Dependents age 26 or older) You will need to purchase a guest ticket for those individuals. $30