GROUPS DATE REQUEST FORM
(Please submit this request at least 14 days prior to the visit date)
* Required
Email address
*
Your email
Group Name
*
Your answer
Leader Name
*
First & Last
Your answer
Mailing Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Primary Phone
*
Your answer
Alternate Phone
*
Please list a cell phone number for the day of your visit. Note: only Verizon customers have service at Dodge Ridge.
Your answer
Trip Date
*
(Holiday rates apply Dec 24-Jan 2, MLK Weekend Jan 14-16, Presidents Day+ Ski Week Feb 18-24)
MM
/
DD
/
YYYY
Alternate Trip Date (or Trip Date #2)
If for some reason (weather, illness, etc.) your originally scheduled trip date doesn't work out, is there another date that would work for your group? You can also use this field if you are planning on bringing your group more than once during the 2017/18 season.
MM
/
DD
/
YYYY
Trip Date #3
You can use this field if you are planning on bringing your group more than once during the 2017/18 season.
MM
/
DD
/
YYYY
Trip Date #4
You can use this field if you are planning on bringing your group more than once during the 2017/18 season. If you are planning more than 4 group visits, please mark the additional dates in the comments section at the end of this form.
MM
/
DD
/
YYYY
Group Size
*
(Approximately how many people in your group?)
Choose
15 (minimum)
20
30
40
50
75
100
Over 100
Group Type
*
Choose
Public School (K-12)
Private School (K-12)
College/University
Church
Scouts
Family
Work
Please list any additional comments, questions or requests here:
Your answer
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