Form

School / Homeschool Group / Co-op Name*
Main Contact Person*
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Trip Details
What time works for your group?

8 am9 am10 am
Please choose a date. Must be a group of 10 or more. Field trips start at 8 am, 9 am, or 10 am and last for 2 hours.

9/299/3010/110/210/310/610/810/910/1010/1310/1410/1510/1610/1710/2010/2110/2210/2310/2710/2810/2910/3010/31
Number of Students Attending*
Number of Adults / Chaperones Attending*
The Meetinghouse Market & Cafe is able to provide a lunch and drink option for children and chaperones. If you are interested in offering this as an option, let us know and we will send a menu sign up to have them ready for your field trip day. Options for kids are Peanut Butter, Banana, & Cinnamon Panini, Peanut Butter and Jelly Panini, Hot Dog, and Grilled Cheesy Panini. It comes with a side and a drink for $10 extra. Chaperones and Teachers are welcome to also order from our regular menu ahead of time.

We will want the menu to send out for kids and chaperones.We only would like to order for the chaperones/teachers.We only would like to order for the children.We will not be eating on the farm.We will be bringing our own lunch.
Grade Levels / Ages*
Special Considerations
Does your group have any dietary restrictions, allergies, or accessibility needs?
Transportation
How will your group arrive?*

BusCarpoolOther
Agreement/Liability Waiver

I, the contact person for the above group, understand and agree that Bluestem Hollow will take all reasonable precautions to ensure safety. I release Bluestem Hollow from liability in case of accident or injury.
Signature of Group Leader*

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Trip Details

Special Considerations

Transportation