School Signup Form

SCHOOL*

Address*

PHONE NUMBER*

Email Address*

Website

REPRESENTATIVE's FULL NAME*

REPRESENTATIVE's PHONE NUMBER*

REPRESENTATIVE's Email Address*

SECONDARY / EMERGENCY CONTACT NAME*

SECONDARY PHONE NUMBER*

SECONDARY Email Address*

Number of Adult Chaperones *

Are you eating lunch on site? If yes, purchased or bringing your own? *

Grade Level (s) & Number of Students in Each Attending *

Time of Arrival, Lunch, and Departure *