Field Trip Reservation Form

Fields marked with * are required.

Name of School or Group *

Mailing Address *

City, State, Zip *

Contact Name *

Office Phone *

Mobile Phone

Contact Email *

Tax Exempt # (if available)

Field Trip Option *

Strawberry (April to mid-June)

Garden (mid-June to mid-September)

Pumpkin Apple (mid-September through early November)

Gem Mining (April through early November)

Honeybee (April through mid-September)

Combo Farm & Gem Mining (April through November)

Combo Farm & Honeybee (April through mid-September)

Combo Gem Mining & Honeybee (April through mid-September)

First Choice Date *

Second Choice Date *

Estimated Arrival Time *

Grade Level *

Number of Students *

Number of Teachers *

Number of Parent Chaperones *

Optional Field Trip Add-Ons

Hot Lunch $5.50ea (count)

Large Kettle Corn $8ea. Serves 25 (count)

Bottled Water: $1.25ea (count)