DATE & TIME Date Requested Thursdays & Fridays Only Rain Date Thursdays & Fridays Only Time Requested 10:00-1:0010:30-1:3011:00-2:00Other SCHOOL & CONTACT INFORMATION School Name Number of Students Teacher/Contact Person Email Address (required) Confirm Email Address (required) School Phone Number Cell Phone Number OPTIONS Will you bring lunch? yesno Price Options available during extended hours $6.00 - Maze activities only IMPORTANT INFORMATION Admission is charged for each student, chaperon, or sibling. There is no charge to teachers, (limit, 2 free staff members per class of 20). Payment is to be made by cash, school check, personal check, credit card or purchase order. Snacks, bottled water, pop & our own farm raised pumpkins are available at an extra charge. Place any additional items in the comment field below. If no additional items are required, please enter NONE