Field Trip Reservation Form Name of School or Group* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Name* First Last Office Phone*Mobile PhoneContact Email* LCPS School Principal Full Name LCPS Principal Contact Email for ESign LCPS procurement is now requiring that school tour proposals be signed by the Principal of the school in order to book transportation. Thank you for providing your Principal’s email so we can send the proposal over for electronic signature to meet this requirement. Tax Exempt Number (if available) Field Trip Option*Strawberry (April & May) $14/studentGarden (June - late August) $14/studentGem Mining Tour (April-September) $14/studentApple Tour (Last Week August-September) $14/studentFall Pumpkin (October) $14/student Please request dates at least two weeks in advance to allow for staffing and event coordination. Complimentary admission is not applicable for children(3ys & older) of Farm Club Members, and Military ID Holders for school Tours. Promotional offers are not applicable for School Tours.First Choice Date (Tues, Wed, Thurs, Fridays)* MM slash DD slash YYYY Second Choice Date (Tues, Wed, Thurs, or Fridays)* MM slash DD slash YYYY Choice Pumpkin Tour Start Time* 9am Tour Start 9:30am Tour Start 10am Tour Start 10:30 Tour Start 11am Tour Start 11:30am Tour Start 1pm Tour Start 1:30pm Tour Start Choose the start time for your tour. Note: Please plan to checkin 15 minutes prior to your selected start time.Choose Desired Tour Start Time* 9am Tour Start 9:30am Tour Start 10am Tour Start 10:30am Tour Start Time 11:00 Tour Start Choose the start time for your tour. Note: Please plan to checkin 15 minutes prior to your selected start time.Departure Time* : Hours Minutes AM PM AM/PM Let us know what time your group needs to leave the farm to get back to your school so we know how much time you plan to spend with us. Grade Level* Number of Students (minimum 15)*Number of Teachers (1 free / 15 students)*Number of Parent Chaperones (Paid by School)*Number Chaperones & Guests (Paying Separately)*Number of Feed Cups for animals ($3 each)Add on optional feed cups to feed the farm animals. Number of Large Kettle Corn Bags ($10 each)Add on optional kettle corn for a snack for the group. Time : Hours Minutes AM PM AM/PM EmailThis field is for validation purposes and should be left unchanged. Δ