Regional Parks Field Trip Request Form
Attach FileAttach File
First Name *

Last Name *

Phone Number

Email *

School/Organization Name *

Billing Address


Postal Code

Location Requested

Please provide us with your top 3 preferred dates: (MM/DD/YYYY)
Date Choice 1
Select a date from the calendar.
Date Choice 2
Select a date from the calendar.
Date Choice 3
Select a date from the calendar.
Time Requested

Number of Adults

Number of Children

Grades (check all that apply)
Ages (check all that apply)
Is there anyone in your group with special needs that we should be aware of?
If yes, please specify
Are you requesting a Workshop OR Field Trip?
Which field trip would you like?

Which workshop would you like?

Extra Information about program needs
How are you most likely to arrive at the program?

How did you hear about our programs?

A park interpreter will be calling you within one week to discuss the details and confirm the booking. If you do not hear back from us by then, please email us at Thank you for your patience.