Educational Tour form

For Educational tours fill out the form below or call Erin Ptacek at 913-710-5684.

$5 per child includes:
• hay ride
• small pumpkin from patch
• hay romp
• farm animal viewing
• corn bin
• children’s corn maze
• water pump and well viewing
• pumpkin weigh station

Teachers and parents are free (small pumpkin not included). Apple cider and donut available for additional $1 per child.

Contact Name*
School or Organization
City, State*
Phone*      
Fax            
e-mail
First Choice
Date

Time
Second Choice
Date

Time
Number Attending
Children
Adults
Comments