Field Trip Application for Summer field trips to the farm!

Field Trip Application for Summer field trips to the farm!

   SECURE ONLINE FORM

  BEFORE YOU START!


CHECK AVAILABILITY....


We’re hoping to avoid some of the telephone tag with this form... just a fast, sure way of getting essential details. We will respond to this request with some concrete options (or a definite booking) for you!


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  • ** CONTACT INFORMATION **

  • Your Name Your Name *
  • Best way to contact you is:

  • Phone Number Phone Number * - -
  • Best time of Day Best time of Day * :
  • ** ORGANIZER'S INFORMATION **

  • Your Phone Number there, if different from above: Your Phone Number there, if different from above: * - -


  • Your BOOKING CONFIRMATION AND ORGANIZER'S INFO PACKAGE will be sent to this email address.

  • The ORGANIZER'S INFO PACKAGE and confirmation will be sent to this email address.

  • ** ATTENDING GROUP ORGANIZER **


  • Please tell us the name of the person who will be in charge of the group while here at Butterfield Acres:

  • ** The "FARM EXPERIENCE" **

    * runs JULY AND AUGUST
    * minimum group size is 15 (fifteen) children
    *2 HOUR or 4 HOUR program
    (4 hour program - minimum age level is Kindergarten)


  • We would like to come and visit the farm for the 2 HOUR PROGRAM from:
    We would like to come and visit the farm for the 2 HOUR PROGRAM from:
  • DO YOU WANT TO END YOUR 2 hr morning VISIT WITH A 45 MINUTE PICNIC TIME AFTERWARDS? (adds $1/child)
    DO YOU WANT TO END YOUR 2 hr morning VISIT WITH A 45 MINUTE PICNIC TIME AFTERWARDS? (adds $1/child)
  • We would like to come visit the farm for the 4 HOUR PROGRAM from:
    We would like to come visit the farm for the 4 HOUR PROGRAM from:

  • WHEN would you like to come?


  • Your first choice of DATE? Your first choice of DATE? / /
    Pick a date.

  • Your second choice DATE?

    Your second choice DATE?
    / /
    Pick a date.

  • Your third choice DATE?

    Your third choice DATE?
    / /
    Pick a date.

  • ** OTHER DATE **

    If your DATE choices are unavailable during your desired time, we will provide you with some other choices to consider.

    Are there any specific WEEKDAYS that your group CANNOT come?

  • Our group CANNOT come on... (check all that apply)
    Our group CANNOT come on... (check all that apply)

  • Are there any specific DATES that you CANNOT come?


  • We CANNOT COME on... We CANNOT COME on... / /
    Pick a date.
  • and we CANNOT COME on... and we CANNOT COME on... / /
    Pick a date.
  • NOR CAN WE COME on... NOR CAN WE COME on... / /
    Pick a date.

  • ** GROUP INFORMATION **


  • Enter the TOTAL amount... all ages / all grades

  • What are the age(s) / grade(s) of the children attending? *
    What are the age(s) / grade(s) of the children attending?

  • ** SPECIAL NEEDS **


  • i.e. Autistic / Visually Impaired / Physically Challenged, etc.


  • ** SPECIAL CONSIDERATIONS / REQUESTS **


  • If we can fill your request as described above, should we book you in and send you a confirmation? (If "NO", we will just reply with information for you to work with.) *
    If we can fill your request as described above, should we book you in and send you a confirmation? (If "NO", we will just reply with information for you to work with.)
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