Field Trip Reservations Use this form for requesting reservations for school field trips. Please enter all information requested.USE YOUR TAB KEY TO MOVE FROM ITEM TO ITEM! "*" indicates required fields HiddenSelect Reservation Type* Fall Harvest Time Springtime Tour Specifics - Date & TimePreferred Date Requested* MM slash DD slash YYYY 1st Alternate Date MM slash DD slash YYYY 2nd Alternate Date MM slash DD slash YYYY Which Field Trip Package for your group* Basic Package $8.50 DELUXE Package $14.50 (includes Gem Mining) Contact InformationName of School* Name of School District* Contact Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Main Phone*Cell Phone*Contact's Email* Enter Email Confirm Email Who's Attending for School Field TripSchool Grade*Pre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeNumber of Children/Students?*HiddenNumber of Teachers/Assistants?Number of Parents/Adults?*NOTE: Parents will pay upon arrival. Not to be included in monies for field trip from teacher.HiddenWill Parents/Adults: Pay on their own on arrival? Be part of monies collected by teachers? Number of classes?Last name of each teacher attending separated by a comma (teachers only, no assistants):*Mode of transportation:BusVanCarMiscellaneousHow did you hear about us?Please let us know if you have children or adults in your group with special needsQuestions or CommentsCAPTCHACommentsThis field is for validation purposes and should be left unchanged.