Island Farm School Trip Booking Form

"*" indicates required fields

Name*

Phone*

Email*

School Name*

School Phone*

Address*

City State ZIP Code

Number of Teachers*

Number of Chaperones*

Number of Classes*

Any Special Needs Or Accommodations

Visit Date – First Choice*

Arrival Time*

Departure Time

Visit Date – Second Choice

Arrival Time

Departure Time

Visit Date – Third Choice

Arrival Time

Departure Time

Program Selection

Island Farm School trips offer school groups the choice of programs and recommends one program per group of ten students, with a minimum of three programs. Please follow this rule of thumb when selecting programs.

Learning Level*

Number of Students

Preferred Programs (choose at least 3)*

Preferred Programs (choose at least 4)*

Preferred Programs (choose at least 5)*

Preferred Programs (choose at least 6)*

Preferred Programs (choose at least 3)*

Preferred Programs (choose at least 4)*

Preferred Programs (choose at least 5)*

Preferred Programs (choose at least 6)*

Preferred Programs (choose at least 7)*

Preferred Programs (choose at least 8)*

Hidden

Would you like to include one small pumpkin per student to your visit?

Yes

This is only applicable to school groups visiting during the month of October. Pre-payment is required for pumpkins. Pumpkins are subject to market pricing.

Would you like to include one small pumpkin per student to your visit?

Yes

This is only applicable to school groups visiting during the month of October. Pre-payment is required for pumpkins. Pumpkins are subject to market pricing.

Comments

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