Field Trip Registration Form
Before filling out this form, make sure you have scheduled and confirmed your field trip with our field trip coordinator at fieldtrips@brethrenmennoniteheritage.org.

Please fill out each portion completely. If you have questions, please email our field trip coordinator at fieldtrips@brethrenmennoniteheritage.org.

Time of Arrival is 9:30 AM, and time of Departure is 1:30 PM. Cost per person is $7.00 for both parents and students. Teachers, assistants, and bus drivers are served free of charge.

Registration Information
Name of School *
Your answer
Grade *
Your answer
Number of Students *
Your answer
Number of Chaperones *
Your answer
Number of School Personnel (no charge) *
Your answer
Contact Information
Name of Contact Person *
Your answer
School Address: *
Your answer
Phone Number: *
Your answer
Cell phone number of contact person:
Your answer
Email address: *
Your answer
Fax number:
Your answer
Scheduling Information
Field trips are scheduled every Thursday from September 28 through November 16. Rain dates are Friday of the same week.
Date of Field Trip:
MM
/
DD
/
YYYY
Rain Date:
MM
/
DD
/
YYYY
Payment Information
Will pay as a group: *
Send invoice to school? *
Invoice sent to the attention of:
Your answer
Other Information:
Students with allergies to:
Check here to grant permission for photographing children for publicity purposes: *
Required
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This form was created inside of Brethren & Mennonite Heritage Center.