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Field Trip Form
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* Indicates required question
Email
*
Your email
Contact Full Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Does this phone number accept text messages?
*
Yes
No
Number of students (CANNOT BE SCHEDULED WITHOUT A COUNT)
*
0-50
50-100
100-200
300+
Other:
Required
Number of teachers
*
Your answer
Number of parents/chaperones (non-school site attendees)
*
Your answer
Desired date (1)
*
MM
/
DD
/
YYYY
Desired date (2)
*
MM
/
DD
/
YYYY
School Name
*
Your answer
Grade level
*
Your answer
Are you interested in adding gem mining to your package for $5 additional per child?
(Field Trip
with Gem Mining
offer is available only to
STUDENTS
and totals $25 per child. Gem-mining add-on offer is NOT available to adult attendees, chaperones, teachers, and/or parents. Regular Paydirt gem mining bags may be purchased at the Farmers Market for $10.)
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