Field Trip Reservation Form Name of School or Group* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Name* First Last Office Phone*Mobile PhoneContact Email* Tax Exempt Number (if available) Field Trip Option*Gem Mining (April-mid Sept) $14/studentStrawberry (April thru May) $14/studentGarden (June - late August) $14/studentApple (September) $14/studentFall Pumpkin (October) $14/student Please request party 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 (Tuesdays and Fridays only)* MM slash DD slash YYYY Second Choice Date (Tuesdays and Fridays only)* MM slash DD slash YYYY Tour Start Time(on the 1/2 hour)* : Hours Minutes AM PM AM/PM Available 10am-2pm Check in 15 minutes before tour start 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 CommentsThis field is for validation purposes and should be left unchanged. Δ