Farmer Charley's - Monroe, Michigan

Field Trip Reservation Request Form

Use this form for requesting reservations for a field trip. Please enter all information requested.
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You must enter the characters in the verify box for the form to work.
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* Required Items—Please Fill In All Required Items

Teacher Contact Information

* First Name

* Last Name

* School Address

* City

* State

* Zip Code

* Telephone

* Email

Who's Attending for School Field Trip

* Name of School

School Grade

#Children

#Teachers

#Adults

#Chaperones

Tour Specifics - Date and Time

* Specific Date Requested

* Choose a Rain Date

* Day of the Week

* Time of Tour

Verification / Comments

* Verify Verify

The form will not process unless you successfully enter the characters from the blue box in the field above. Case sensitive.

How did you hear about us?

Please let us know if you have children or adults in your group with special needs

Questions or Comments

School Field Trips must be paid in full at least two weeks prior to your visit. We will contact you to confirm your requested date and payment information. School Field Trips are $6.00 per student/chaperone.

*Required Info