Jack London State Park Group Reservation Form
|
| Name of your group or school
*
|
|
| Age group or grade level
*
|
|
| Mailing address 1
*
|
|
| Mailing address 2
|
|
| City/State/Zip
*
|
|
| Email
*
|
|
| Contact Person
*
|
|
| Contact Phone
*
|
|
| Alternate (Cell) Phone
|
|
| Desired date
*
| Monday or Friday only
|
Is this a change from a previous request?
(please explain)
|
|
| Arrival time (not before 10 a.m.)
*
|
|
| Departure Time (must be before 4:30 p.m)
|
|
Number of
Students (60 maximum)
(40 maximum to enter Cottage)
*
|
|
| Number of Adults (Maximum 20 with students, 80 adults only)
*
|
|
| DesiredTour
*
|
|
| Do you have any special requirements?
|
|
| Do you desire that we mail the park DVD
|
|
Park Entrance Fee: Pay when entering park
$10 - Per Vehicle
$50 - Bus, max. capacity 24
$100 - Bus, Capacity over 24
|
|
| Check here if you are a K - 12 school group requesting free park entrance fee
| Free Entry Requested
|
Docent Fee:
K - 12
$20 for the first 20 persons,
$1 each person above 20
Other groups
$50 first 20 persons,
$2 each person above 20
*
|
|
|
Image Verification
|
|
|
|
|
|
EMF Forms Online