2007 Pumpkin Hay Ride Reservations Form-DIDIER FARMS

September 24-October 31, 2007

Preschool thru Grade 5 (Minimum 12 children)

School Groups WEEKDAYS ONLY
For reservations: Call 847-634-3291
Monday – Friday 9:00 am – 2:00 pm only, beginning September 4, 2007 OR by Fax Beginning August 15, 2007.

Print this form and fax to us at 847-634-3298 (FAX) and we will fax back your confirmation.

This is being done to accommodate teachers who need to make these arrangements earlier.

Please fill out one form for each time and day.

Please fill out the following information:

Date of Visit: 1st choice_________________2nd choice_______________3rd choice______________

(Please remember- tractor ride only stops in field to pick pumpkins-Sept 24 - Oct 12  (weather permitting)

Remember that some packages may require more time allotment than others.

Package Preference # 1:________________________________________

Package Preference # 2:________________________________________

Time of Visit:________________________________________

School or Group Name:________________________________

Contact/Teacher Name:_______________________________

Address: (Where to send confirmation to):
We need your address to make sure you are on our mailing list for next year.

________________________________________________________

________________________________________________________

Phone:______________________________

Best time to call:_____________________

Fax:________________________________

Age of children coming:________________

Number of children:___________________

Number of adults:____________________NEW(1 adult free per 10 children)

Bus or Car? __________

Special notations, needs or questions:

_________________________________________________________

_________________________________________________________

 

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