Govin's Farm Field Trip Request

Govin's Farm Field Trip Request

Please fill out the form below, we will call to confirm reservation and details.
School Name*
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Email - enter twice to confirm*

Confirmation Emailexample@example.com
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact's Main Phone Number*
Please enter a valid phone number.
Cell Phone Number (in case we need to contact you the day of FT*
Please enter a valid phone number.
Preferred method of contact*

Main PhoneCell PhoneEmail
What day are you hoping to come? These are the dates that are currently available*

Tuesday March 25 - 9:30am-11amTuesday March 25 - 12:30pm-2pmWednesday March 26 - 9:30am-11amWednesday March 26 - 12:30pm-2pmThursday March 27 - 9:30am-11amThursday March 27 - 12:30-2pmTuesday April 1 - 9:30am-11amTuesday April 1 - 12:30pm-2pmWednesday April 2 - 9:30am-11amWednesday April 2 - 12:30pm-2pmThursday April 3 - 9:30am-11amThursday April 3 - 12:30pm-2pmTuesday April 8 - 9:30am-11amTuesday April 8 - 12:30pm-2pmWednesday April 9 - 9:30am-11amWednesday April 9 - 12:30pm-2pmThursday April 10 - 9:30am-11amThursday April 10 - 12:30pm-2p
What is your second choice date?*
Who's Attending for School Field Trip
School Grade*

4kKindergarten1st Grade2nd Grade3rd Grade4th GradeOther
Number of Teachers*
Number of paid staff Aides
Number of Children*
Number of adult chaperones (non staff) - limit 1 per 10 children*
Number of classes*
How are you arriving?*

BusVanParent drivers
Arrival Time - not before 9:15 - Make sure you add in travel time, do not list your departure time from school*
Departure Time from farm - 90 minutes or less after arrival*
Are you hoping to have lunch here before leaving the farm? Not all request will be granted due to our schedule, space and staffing.

YESNO
How are you paying? ALL Chaperone money needs to be included with payment.*

CheckCashCredit Card - 3% fee added to total
This is NOT a confirmation for your date! You will recieve an email from Govin's Farm with more details once your date is confirmed.

Thanks,

Julie Govin
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Govin's Farm Field Trip Request

Who's Attending for School Field Trip