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RESERVATION FORM

Please provide the following contact information:
Contact Name:
Organization:
Best Contact Phone:
Other Phone:
Email Address:
Address: (Please include city & zip so we can mail hard copies)
1st Choice Event Month:
1st Choice Event Day:
1st Choice Event Year:
Arrival Time: (Weekend hours 10 am to 5:00, everyone out of Maze area by 4:45. Give your group plenty of time)
Type of Event:
If Other, please describe here:
Estimated total number of people: (Must be atleast 20 paying people)
Estimated Adults (Require at least one adult per 8 kids):
Estimated number of kids 2 and under:
General AGE of the youth/group:
Does your group have any 'special needs'? IF YES, please explain?
Weekend Hay Ride: ($4.00 per person 3 and older) Yes
No
Total Maze Patches @ $2.00 each plus tax:
Total Maze-O-Vision Glasses @ $1.00 each: (For use in the BIG fall corn maze)
Fishing FOR KIDS (Catch & Release for KIDS ONLY)
Jumping Pillow $2 per person (MUST WEAR SOCKS)
Use of picnic area: Yes
No
If you have less than 20 paying people we hope you will come on Saturday, Sunday or on one of our Special Event Days.
NO DROP-INS during the week, you must have a reservation and paid deposits.
The minimum amount required for weekday groups is $164.00.
Date confirmation of event depends on the when we receive your signed form plus deposit.

Be sure to review our guidelines for Schools & Group. Thanks.

Any questions please email rebecca@longandscottfarms.com.