School Field Trip Form - Billings Farm

School Group Reservations

School Or Organization*
Grade(s)*
Contact Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Arrival Date*
Alternative Arrival Date*
Arrival Time (No arrival before 10:00 AM)

: HH

MM
Departure Time

: HH

MM
Number of Students*
Number of Teachers (including one-on-one aids)*
Number of Non-Teacher Chaperones*
Transportation Mode
Would you like to add ice cream? $3.00/cup*
Lunch Time

: HH

MM
Program Selection - 1st Choice*
Program Selection - 2nd Choice*
Payment Type
- Invoice
- Payment upon arrival
Special Instructions