TUF Field Trip Request Form

Contact & Organization Information

Primary Contact - First Name

Primary Contact - Last Name

Primary Contact - Email

Phone

Name of School / Organization

School / Organization - Street Address

School / Organization - City

School / Organization - State

School / Organization - Zip Code

School / Organization - County

Participant Information

Number of Adult Staff and / or Chaperones

Number of Adult Participants (if any)

PLEASE DO NOT LIST THE NUMBER OF STAFF AND CHAPERONES HERE. This is intended for groups bringing people 18+ to the farm.

Number of Youth Participants

TUF can facilitate up to 80 youth at a time. Larger groups will liekly need to be split into two days.

Age Range / Grade Level

Schedule Request

Date of Request - First Choice

mm/dd/yyyy

Requested Time - First Choice

Date of Request - Second Choice

mm/dd/yyyy

Requested Time - Second Choice

Payment Information

Email for Electronic Invoicing

Payment Method

Paid by Electronic Invoice (Credit, Debit, ACH)

Paid by Check - Mailed in Advance of Trip

Scholarship Request

Full and partial scholarships will be evaluated based on need.

Please Note: Scholarship funds are limited and may not be awarded for every request.

We would like to request a scholarship:

Yes

Is your school designated Title 1?

Yes

Percentage of Free or Reduced Lunch

Other Relevant Information:

Please provide us with any other information about your school or organization that may be relevant to your scholarship request, if necessary.

Additional Information

Required Lunch / Snack Break:

Please let us know if your group is intending to stay for lunch or a snack.

TUF may provide for a 30 minute scheduled break on site for no additional fee.

Yes

Unsure

Language Interpretation

Please let us know if your group would benefit from a Spanish speaking trip leader. TUF will do our best to accommodate as resources are available.

Yes

Unsure