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*Apple ( late Aug- mid Sept) $9/studentGem Mining (mid April-mid Sept) $9/studentStrawberry (mid April thru May) $9/studentGarden (June - late August) $9/studentPollinator ( June- mid September) $9/student 6yrs and olderFall Pumpkin/Apple (late September-October) $9/studentCombo Apple & Gem (late August-mid Sept) $14/student & chaperonesCombo Garden & Gem (June-mid late August) $14/studentCombo Strawberry & Gem (mid April - May) $14/studentComplimentary admission is not applicable for children(3ys & older) of CSA/Fan of the Farm Members, and Military ID Holders for school Tours. Promotional offers are not applicable for School Tours.First Choice Date (Tuesday - Friday)* Second Choice Date (Tuesday - Friday)* Tour Start Time(on the 1/2 hour)* : HH MM AM PM April thru mid- May - available 10am-2pm and mid-May thru October - available 9am-3pm Grade Level*Number of Students (minimum 15)*Number of Teachers (1 free / 15 students)*Number of Parent Chaperones*Optional Field Trip Add-ons Hotdog Lunch $6.00 (hotdog, water,fruit, carrots w/dip & cookie) Large Kettle Corn $8ea. Serves 25 (count) Animal Feed Cup: $2.00each (count) NameThis field is for validation purposes and should be left unchanged.
