School Name:*

School Address:*

City:*

State:*

Zip Code:*

Contact Name:*

School Phone:*

Cell Phone:

E-mail Address:*

Teacher's Name:*

Grade(s) Attending:*

Estimated Student Count:*

Estimated Teacher Count:*

Estimated Parent & Sibling Count:*

Any students with wheelchairs?*

Which Field Trip?*

1st Reservation Date Choice:*

2nd Reservation Date Choice:

Other Information:

One Teacher per 20 students free.
All additional parents, siblings (2 and older) & chaperones must pay.

Picnic Tables are available if you wish to bring your lunch.