Field Trip Reservation

1
Field Trip to the Farm* This field is required.We currently only offer field trips on Mondays and Fridays. Available days are black/bold, unavailable dates are gray.
2
Coordinator Name (Person to contact with questions)* This field is required.
First Name
Last Name
3
Field Trip Coordinator's Phone Number* This field is required.
Please enter a valid phone number.
4
Field Trip Coordinator's Email* This field is required.
example@example.com
5
Group size* This field is required.Minimum of 20 students
Please Select
Please Select
20
20-30
30-40
40-50
50-60
60-70
70-80
80-90
90-100
100-110
110-120
120+
6
Are there any accessibility needs?* This field is required.We work hard to accommodate all levels of ability, but it does help us to prepare if we know any specific needs ahead of time.
(If not applicable, just enter N/A)
7
grade(s)/age(s) of students* This field is required.
Please Select
Preschool
K4
K5
1st
2nd
3rd
4th
5th
Middle School
High School
Adult Group
select all applicable groups
8
What type of Field Trip are you wanting? * This field is required.
BasicSOL specific
9
SOL Specific OptionsThese trips are outlined in depth in our field trip guide
Please Select
Please Select
K5 Option 1 - SOL K - PS3-2
K5 Option 2 - K- LS1-1
K5 Option 3 - K-PS3 - 1
1st Grade Option 1 - 1- PS4 -3
1st Grade Option 2 - 1 -PS4-4
1st Grade Option 3 - 1 -LS1-1
2nd Grade Option 1 - 2-PS1-4
2nd Grade Option 2 - 2-LS2-1
2nd Grade Option 3 - 2-ESS3-1
3rd Grade Option 1 - 3-LS1-1
3rd Grade Option 2 - 3-LS2-1
3rd Grade Option 3 - 3-LS4-3
4th Grade Option 1 - 4-PS3-4
4th Grade Option 2 - 4-PS4-3
4th Grade Option 3 - 4-LS1-1
5th Grade Option 1 - 5-PS3-1
5th Grade Option 2 - 5-LS2-1
5th Grade Option 3 - 5-ESS2-1
10
Group or School Name* This field is required.(GCS School Name, Homeschool Co-op, Mom's group, etc.)
11
Field trip cost: $10 per student/attendee (This is defined as 2 years old and up)

****Up to 2 chaperones included for free for every 15 students. Addtional adults/chaperones are welcome, but they are $5/each payable by EXACT CASH upon arrival. ****

Field Trip Fees will be paid Either by 1 credit card for the whole group OR exact cash total.

(Field Trip Coordinator is responsible to gather and collect cash for all parties and pay staff member at start of field trip)
Should be Empty: