The Hub Farm Field Trip Reservation Form
Full Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Organization *
School *
Select the type of visit you would like to reserve. *
Date of Visit (1st Preference) *
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DD
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YYYY
Date of Visit (2nd Preference) *
MM
/
DD
/
YYYY
Date of Visit (3rd Preference) *
MM
/
DD
/
YYYY
Arrival Time *
Departure Time *
Enter the number of hours you plan to stay.
Number of Students *
Your answer
Grade Level(s) *
Your answer
Number of Adults *
Hub Farm recommends one adult for every twelve students.
Your answer
Learning Goals for the Visit *
Your answer
Teacher Role During Visit *
Required
Will your participants be at the Hub Farm for lunch? *
NOTE, lunch is NOT provided by the Hub Farm.
Requests, Considerations and Comments *
Please provide additional information for reservation including a secondary contact to better facilitate communication.
Your answer
Submit
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This form was created inside of Durham Public Schools.