Haley Farm - Event Registration Request

Haley Farm - Event Registration Request

Date Form Completed*

Organization Name*

Organization's Mission*

Address*

City*

State*

Zip Code*

Phone Number*

Phone

Website*

Contact Information

Primary Contact Name*

Contact Title*

Contact Phone Number*

Phone

Email Address*

Name of Event*

Description of Event*

Event Dates*

Type of Event*

Select

Event Start Time*

Event End Time*

Number of Participants Expected*

Food will be served

We will provide our own food service

CDF to arrange food service?

Description of preferred menu*

Will childcare be provided?

How many children expected

CDF will provide childcare? (additional fee)

We will provide childcare ourselves

Guests will need overnight accommodations

How many guests will need accommodations?*

How many rooms will be needed?*

Please note: Due to COVID-19 protocols, any requests for private lodging will be honored.

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