School Field Trip ~ Reservation Form
School
Attending Grade Level
Contact Person
Contact Phone
Contact e-mail
Date of Field Trip:
First Choice
Second Choice
# of Students
# of Adults
Do you want to purchase lunch? (Lunch includes 1 hot dog, chips & soda for an additonal $3.00 per person)
CIf yes, how many?
This box is for additional information or questions:
Time of Arrival: (not earlier than 9am)
PAYMENT DUE UPON ARRIVAL.
For questions call Raylene at 209-456-4142
Total for Package A 
Total for Package B 
IMPORTANT: If you do not get a response within 48 hours call Raylene 209-456-4142.
YesNo