Group Visit Sign up - Pineland Farms, Inc.

Requested Date & Time:

1st choice *

2nd choice *

Please leave this field empty.

Program selection:

Anytime

Cool ChickensDairy DiscoveryFarmyard ExplorationPineland Farms Tour

Spring

Habitat is HomeSeed to HarvestPinelands Past

Summer

Farmyard ExplorationPineland's Past

Fall

Corn Maize Quest and Pumpkin PursuitPinelands Past

Winter

Winter Wonderland

Program additions:

Apple Cider Making – fee dependent on seasonButter Making - $2.00 per participantCheese - $7.00 per blockEgg Collecting - $1.00 per participantIce Cream Making - $2.00 per participantPumpkins – $2.00 each (available seasonally)

Participant information

Grade/Age *

Number of participants *

Number of Classrooms *

Number of chaperones (if applicable) *

(please remember our recommended ratio of 1 chaperone for every 10 students)

Number of staff *

Transportation by *

Special accommodations

Contact Information

Name

Phone

Billing Contact Information

Name

Phone