Field Trip Registration Form

If more than one date or time is reserved, please submit separate forms.

Contact Info:

Group/School:
Contact Person:
Contact Phone:
Contact Email:
Contact Address:
City/State/Zip:
Best Time &
Way to Reach You:
Method of confirmation requested: Email     Phone

Who's Attending:

Grades/Ages: Pre School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other:
Class #1:  
Teacher's Name:
Mr.
Ms.		 (first & last)
Number of Students:
Class #2:  
Teacher's Name:
Mr.
Ms.		 (first & last)
Number of Students:
Class #3:  
Teacher's Name:
Mr.
Ms.		 (first & last)
Number of Students:
Class #4:  
Teacher's Name:
Mr.
Ms.		 (first & last)
Number of Students:
Class #5:  
Teacher's Name:
Mr.
Ms.		 (first & last)
Number of Students:
Number of Other Participants: *estimate, provide final numbers 1 week in advance
Adults/Parents: (do not include teachers listed above)
Children/Siblings:

Tour Information:

Tour Type:
Self-Guided: (recommended for daycares and preschool age children)
Animal Chores Lesson: (educational tour recommended to K-4th grade students)
        * Not available after 3:00 p.m.
Trip Date:
Option 1:
Option 2:
Arrival/Departure:
(Plan a minimum of 2 hours and a maximum of 4 hours)
Arrival Time:
Departure Time:
fSnack/Lunch Time: Snack    Lunch    None
Your snack/lunch time will be within 30 minutes of your selected time.
Busses:
Cars:
Is a receipt required or desired: Yes     No

Comments/Questions:

Please let us know if you have children or adults with special needs:
How did you hear about us?
Have you visited us before?
Comments and/or questions:

Once your reservation is obtained, you will receive
an e-mail with your confirmed field trip date. If you don't hear
from us within 2-3 days, please give us a call at 920-691-6742.