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*

Grade Level*

Any Special Needs Or Accommodations

Please indicate here if you would like one small pumpkin per student included in your field trip. This is only offered during the month of October. The group fee will increase from $8 per student to $10 per student with the addition of one small pumpkin.

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)*

Phone

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

Island Farm School Trip Booking Form

Program Selection

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