2026 Field Trip Request Form

2026 Field Trip Request Form

Please complete the request form using the field labels and structure from the attached DOCX.
Complete and return this form to request a field trip to travel to The Junction with a group of 30 students or more with a scheduled three-hour time frame. Snacks/beverages/lunch may be brought on premises. If you have any questions, please email us at thejunction58@gmail.com or call 434-738-8807.
School Information
School Name
School District
Contact Name
Email Address
example@example.com
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Direct Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
School/Office Phone
Please enter a valid phone number.Format: (000) 000-0000.
Participant and Visit Details

To book a field trip there is a minimum charge of 30 students.
Grade Level Range

Other
Grade Level Range - Other
Number of Students
Age Range
Number of Staff
Trip Scheduling and Transportation
Requested Date of Trip (1st Choice)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Requested Date of Trip (2nd Choice)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Earliest Arrival Time (Field Trips are held in 3-hour increments.)

Hour Minutes

AM/PM Option

until

Hour Minutes

AM/PM Option
Will you be eating lunch onsite?
Arrival Transportation Type

Other
Arrival Transportation Type - Other
Will parents be attending? *Please note that if parents attend, they must pay in full to the school and the school must provide a list of paid names prior to the field trip or they must pay in full at the gate.*
Starting Point: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pricing and Payment Information: Admission is $14.00 per student, parent or sibling. There is no charge for teachers and staff. Payment must be made in full and submitted in advance or on arrival via check or cash. As time allows, activities will include a trip through the corn maze, jumbo jump pillow, corn pit, games, animal park, hayride and more. Each child will be sent home with a pie pumpkin as availability lasts. Due to height restrictions, the Super Mega Ride-N-Slide is not included with school trips.
Add-Ons and Agreement
Gem Mining Add-On: $5.00 additional per student, making it $19.00 per student
Send me an invoice
Agreement - Name (Print)
I acknowledge that submitting this form does not guarantee my requested date until confirmation is received from The Junction staff. I understand that final attendance numbers must be confirmed at least 2 days in advance.
Agreement - Signature
Agreement - Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

2026 Field Trip Request Form

School Information

Participant and Visit Details

Trip Scheduling and Transportation

Add-Ons and Agreement