JULY and AUGUST FIELD TRIP REQUEST

SECURE ONLINE FORM

FILL IN THIS ORDER FORM TO BOOK A FIELD TRIP HERE TO BUTTERFIELD ACRES ... and get ready to add some precious memories to your summer programming!

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CONTACT INFORMATION
Name of your Day Camp, Day Care, Group or Organization
Your Name Your Name First Last
If we need to contact you, please indicate what is the best...
Phone Number Phone Number - ### - ### ####
Time of Day Time of Day : HH MM AM/PM
extension #
Will you be coming with the group?

Will you be coming with the group? Yes No
If you are not coming yourself, who will be in charge of the group? If you are not coming yourself, who will be in charge of the group? First Last
What email address should we use to communicate with you? We email your Booking Confirmation and LEADER's INFO PACKAGE (which MUST be distributed to all leaders prior to the trip) to this same address.

The LEADER'S PACKAGE and confirmation will be sent to this email address.
FIELD TRIPS TO BUTTERFIELD ACRES FARM for July and August
* minimum group size is 15 children.
Smaller groups may either pay the minimum 15 child rate, or come in at public rates.
What DATE would you like to come?
FIRST choice? What DATE would you like to come?
FIRST choice? / MM / DD YYYY
What DATE would you like to come?
SECOND choice? What DATE would you like to come?
SECOND choice? / MM / DD YYYY
What time would you like to come?

What time would you like to come? 9:45-1145 Farmyard only (Thursday not available) 10am - 2pm Horse Shoe Trail and Farmyard (Thursday not available) 1pm - 3 pm Farmyard only (Mon to Fri available)
How many children will be attending?

Enter the TOTAL amount... all ages / all grades
How many adults will be attending? We request a 3:1 ratio - not only for for the safety of your children, but also for our animals.
What are the ages/grades of the children attending?
*OTHER* or **SPECIAL NEEDS** information:
Please tell us a little more :

i.e. Autistic / Visually Impaired / Physically Challenged, etc.
SPECIAL CONSIDERATIONS / REQUESTS
Any special considerations or requests?
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JULY and AUGUST FIELD TRIP REQUEST

JULY and AUGUST FIELD TRIP REQUEST

CONTACT INFORMATION

If we need to contact you, please indicate what is the best...

FIELD TRIPS TO BUTTERFIELD ACRES FARM for July and August * minimum group size is 15 children. Smaller groups may either pay the minimum 15 child rate, or come in at public rates.

SPECIAL CONSIDERATIONS / REQUESTS

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FIELD TRIPS TO BUTTERFIELD ACRES FARM for July and August
* minimum group size is 15 children.
Smaller groups may either pay the minimum 15 child rate, or come in at public rates.

CAPTCHA
The purpose of the CAPTCHA image below is to block form submissions by spambots, which are automated scripts that post spam content whever they can. To confirm you're a human, please...