2007 Summers Farm Registration Page
Please fill out the reservation form for Summers Farm. Click the
submit
button when finished. We will be in contact with you to confirm your date and time for you field trip. You will also receive a confirmation email verifying your registration information. We value your privacy. Any information provided will not be distributed elsewhere.
Contact Information
School/Group
*
Address
City
State
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip Code
School Phone
School Fax
Teacher/Organizer Name
*
Teacher/Organizer Phone
*
Teacher/Organizer Email
*
Best Time to Reach You
Reservation Information
Number of Students in Class
*
Age group of Students in Class
*
Number of Classes
Total Number of Students
Desired Date and Time of arrival
First Preference
*
Second Preference
*
<
May 2008
>
Su
Mo
Tu
We
Th
Fr
Sa
27
28
29
30
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
<
May 2008
>
Su
Mo
Tu
We
Th
Fr
Sa
27
28
29
30
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
Time
*
:
Select Time
8:30 AM
9:15 AM
10:30 AM
10:45 AM
1:00 PM
Time
*
:
Please Select Time
8:30 AM
9:15 AM
10:30 AM
10:45 AM
1:00 PM
List any special needs that anyone in your tour group may have
Provide any other information/comments you would like us to know