Field Trip Request
Greetings! Thank you for expressing interest in bringing your group to our urban farm. Please complete this form with as much information as you are able to provide at this time.

For our Farm Visit FAQs: https://docs.google.com/document/d/1eE3x8u-ezSmcmywsb1gXq3zlx_9cZZG4tyLtNAH92J4/edit?usp=sharing

If you have questions, please email us at educationalclasses@yisraelfamilyfarm.net.

Has this group visited before? *
School/Group/Program Name *
Your answer
Trip Coordinator's Name *
First and Last name
Your answer
Trip Coordinator's Phone Number *
Your answer
Trip Coordinator's Email *
Your answer
Billing Address [location and email] *
[Street Address, City, State, Zip] This will only be used for invoicing.
Your answer
Preferred Date *
Primary choice
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YYYY
Preferred Date *
Secondary choice
MM
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DD
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YYYY
Preferred Date
Third choice
MM
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DD
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YYYY
What is your budget? *
A price estimate will help us recommend the best program for you. Please do not hesitate to contact us if you cannot afford the fees - we may be able to work something out!
Your answer
If your group is a student group, please specify your group's grade level(s) and age range *
(I.e. 5th grade, Ages 10-11)
Your answer
How many guests/students are planning on attending? *
We acknowledge that this number may change. Please provide an estimate for now and a final headcount will be confirmed one week prior to your visit.
Your answer
How many chaperones will there be? *
Your answer
Which program will you be selecting? *
For a description on all our farm tours & field lessons please visit: http://www.yisraelfamilyfarm.net/community-outreach/
Will the group be bringing lunch and eating it on site? *
Our food policy indicates that you please refrain from bringing any meat based products or highly processed snacks onto the farm. We thank you in advance for your cooperation.
Are there any food allergies are in the group? *
If there are, please list the allergies and people below, or answer N/A
Your answer
Why are you selecting Yisrael Family Urban Farm for your field trip? *
Your answer
What are your goals for this field trip? *
Your answer
What else should we know about your group? *
Your answer
How did your hear about us? *
Questions/Comments? *
Your answer
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