Farmer for a Day Field Trip Registration

For Fall Barnyard Adventure Field trips, please click here.

Please complete the all sections below.

Basic Information

Desired Field Trip Date (MM-DD-YYYY)*

Desired Arrival and Departure Time*

Name of School/Organization*

Group Grade(s):*

Primary Contact: This person must be on-site with your group at all times. This person will also be responsible for handling payment upon arrival.

Primary Contact Name:*

Primary Contact Cell Number:*

Primary Contact Email Address:*

Student/Classroom Information

Please provide the number of students, teachers, staff or any additional guests who will be paid for by the school. Any guests (parents & siblings) invited but paying on their own may be added in the next section.

Amount of Students in Group*

Amount of Teachers/Staff in Group*

Additional Guests to be paid by school

Total Number of Classrooms*

SPECIAL NEEDS: Are you a special needs classroom? If Yes, Please note below and feel free to include any specific details related to special needs group.*

Is there anything else we should know about your group?

Guests (Paying Separately)

All guests must pay the same student/staff rate.

Do you plan to invite parents & siblings to join your group?*

Please enter the estimated total # of parents & siblings that will join

Transportation Information

Please select the type of vehicle transporting your group*

Large School Bus
Small School Bus
School Van
Parent Vehicles
Not Sure Yet

How many vehicles total will the group have?*

Financial Information

Payment is due on or before the field trip date. You will be send an invoice with field trip confirmation email 3-7 business days after field trip request submittal.

Please select your method of payment*

Billing Name and Organization*

Billing Address*

School Phone Number*

Field Trip Additional Experiences

Please select a desired field trip extension activity.

Additional Activities

Sensory Garden & Greenhouse Exploration
Enjoy an additional 30 minutes exploring our sensory garden or greenhouse. This immersive walkthrough is designed to engage all senses, offering a deeper connection with nature and an up-close look at how plants and pollinators work together to create the environment we cherish. Hands-On Learning: Touch, smell,
and see a variety of plants that play a crucial role in our ecosystem, enhancing the educational experience beyond the classroom. Additional Cost $3.00/person
Super MegaSlide Ride n'Slide
Extend your field trip excitement with an adrenaline-pumping ride on the Super Mega Slide! Join us as we add an extra dose of thrill to our day. It's the perfect opportunity to create lasting memories and bond over the sheer excitement of the slide. Don't miss out on this chance to elevate your field trip experience to new heights. Get ready to slide into pure exhilaration!
Additional Cost: $3.00/person

Total

$0.00

Coupon Code

Total

$0.00

Almost done. Where should we send the confirmation?

Email*

Name*

I am representing an organization

Phone Number*

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