Pumpkin Patch Field-Trip Registration Form

Pumpkin Patch Field-Trip Inquiry for Teachers/Youth Instructors

Fill out the form carefully to register for a 2.5hr workshop pumpkin carving or hand-building clay pumpkin for a class of youth. All ages are welcome starting at $8 per student. Cost includes supplies and snack. Class sizes can be between 10 to 20 youth.
Location: Little Black Pearl Workshop

1060 E 47th Street

Chicago, IL 60653

*Snacks will be provided.*
Teacher Name*

First NameLast Name
Email*
Email
Phone Number
Optional
Where do you teach?*
School Name
What subject do you teach?*
Specialty
Principal/Director Name*

First NameLast Name
Email*
Email
Workshop Selection*
Select one workshop per inquiry.
Number of youth participants*
Class sizes can be between 10 to 20 youth.
Available Date: October 9th, 16th, 21st, 23rd, or 28th.
Preferred Date:*

MonthDayYear
Select an available date or inquire about additional days not listed.
Alternative Date:*

MonthDayYear
Select one additional day just in case your preferred date is already booked.
Additional questions or inquires.
Provide additional details or request you may have for programming.
Should be Empty:

Pumpkin Patch Field-Trip Inquiry for Teachers/Youth Instructors