Field Trip Registration
Thank you for you interest in a field trip at Daluge Farm. Please fill out the form, submit, and we will be in touch to confirm your registration.

With questions, please reach out to Erin and Megan at merin@dalugefarminc.org.

Email address *
Field Trip Coordinator Information
Coordinator First Name *
Your answer
Coordinator Last Name *
Your answer
Coordinator Cell Phone Number *
Your answer
Will you be the onsite point of contact on the day of the field trip? *
Number of Students *
Your answer
Grade Level *
Required
One chaperone is required per 20 students.
Names of teachers/chaperones *
Your answer
Please check each paragraph stating that you (coordinator) have read and understand. *
Required
Code of Conduct - please check each box stating you (the coordinator) have read and understand. *
Required
How did you hear about Daluge Farm? Check all that apply.
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