School Tour Registration Form - old
Please fill out the form below in order complete your tour registration
Name
Prefix
First
Last
Suffix
MI
Middle
School/Group Name
Email
Phone Number
###
-
###
-
####
Choose a Tour
Strawberry Tour (no slushie) - $8.50/person only available in the spring
Strawberry Tour (slushie- $9.50/person only available in the spring
Pumpkin Tour (no slushie)- $8.50/person only available in the fall
Pumpkin Tour (slushie)- $9.50/person only available in the fall
Number of Teachers
Number of Chaperones
Number classes
Number of Kids
Grade Level or Age Range of Your Group
Please list the name of each teacher and the number of kids in their class (i.e., Ms. Smith - 24 kids)
Will you eat lunch at the farm?
*
Yes
No
What time does your group normally eat lunch (we will do our best to accommodate)?
What time does your group need to leave by?
Special Instructions - Please tell us if there are any special needs or allergies that we need to accomodate.
First Tour Date - Please enter your first choice for a tour date.
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Second Tour Date - Please enter your second choice for a tour.
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Third Tour Date - Please enter your third choice for a tour date.
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Name
Prefix
First
Last
Suffix
MI
Middle
Name
Prefix
First
Last
Suffix
MI
Middle
Name
Prefix
First
Last
Suffix
MI
Middle
Name
Prefix
First
Last
Suffix
MI
Middle
Image Verification
Please enter the text from the image
:
[
Refresh Image
] [
What's This?
]
Powered by
EMF
HTML Contact Form
Report Abuse