FALL Field Trip Reservation Request

Use this form for requesting reservations for a field trip. Please enter all information requested.
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"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Contact Information

Name of School*

Teacher Name*

First Last

Teacher Main Phone*

Teacher Cell Phone

Teacher Email*

Enter Email Confirm Email

Preferred method of contact*

Main Phone

Cell Phone

Invoice Contact Name*

First Last

Invoice Contact Address*

Street Address Address Line 2 City State ZIP Code

Invoice Contact Phone*

Invoice Contact Email*

Enter Email Confirm Email

Who's Attending for School Field Trip

School Grade*

If Other, explain:*

#Teachers/Assistants*

#Children/Students*

#Parents/Adults*

#Classes*

Preferred Date Requested*

Alternate Date Requested*

Expected Arrival Time (9am-5pm Farm closes at 5pm.)*

How long do you plan to stay? (# of hours)*

Are you planning on bringing lunch to eat while at Cottles?*

Yes

About what time will you be eating?

When you prepare the coolers and other containers for the kids lunch, please make sure all items are labeled so that none will be misplaced or confused by some other school. Thanks.

How did you hear about us?

Please let us know if you have children or adults in your group with special needs

Questions or Comments

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Confirmed Date