Senior / Secondary Picnic Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Contact Full Name *

Email *

Phone number *

Does this phone number accept text messages? *

Yes

Number of students *

Number of teachers *

Number of parents/chaperones (non-school attendees) *

Desired date (1) *

YYYY

Desired date (2)
*

YYYY

Are you interested in adding gem mining to your package for $5 additional per child? (Field Trip with Gem Mining offer is available only to STUDENTS and totals $25 per child. Gem-mining add-on offer is NOT available to adult attendees, chaperones, teachers, and/or parents. Regular Paydirt gem mining bags may be purchased at the Farmers Market for $10.)
*

Yes

Is there any other information we need to know about your event? *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms