Your Name *

First Name

Last Name

Cell Phone Number *

We will use this number to contact you in case of inclement weather, emergencies during your outing, etc.

(###)

###

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Has your group ever booked an outing with us in the past? *

Yes

No

Preferred Date: 1st Choice *

MM

DD

YYYY

Preferred Date: 2nd Choice

MM

DD

YYYY

Preferred Date: 3rd Choice

MM

DD

YYYY

Preferred Time Slot *

Choose one or multiple. Your preferred time slot may not be available for your chosen date.

6:00-8:00pm (Arrival Time: 5:30pm)

6:30-8:30pm (Arrival Time: 6:00pm)

7:00-9:00pm (Arrival Time: 6:30pm)

No Preference

*

I verify that I am a teacher, department head, or organization leader and I am 21+ years of age.

I understand that I must submit my signed contract and accompanying documents by the date specified on my contract email to secure my reservation.

I have read and agree to the Terms & Conditions (linked above).