Field Trip Request Form

✻ = Required

If you are interested in booking the Healthy Choices Through History Field Trip for 4th-6th graders,

please visit: https://forms.gle/4GV4CDYtwBGVj83RA

Visit https://ucanr.edu/FieldTrips for more information on our field trips and to print your waiver of liability forms.

Full Name ✻

Email ✻

Phone Number ✻

School/Program Name ✻

Grade Level(s) ✻

Number of Classrooms to Attend ✻

Total number of students ✻

Please keep in mind that we are limited to 2 classrooms per visit. How many days will you need to book? ✻

What program(s) are you interest in booking? Please visit https://ucanr.edu/FieldTrips for a description of the field trip ✻

*Waitlist started* October: Alfalfa is Ice Cream in the Making *Waitlist started* November/December: Fall Festival *Waitlist started* March/April: Vegetable Adventures *Waitlist started* May: Insects- The Good the Bag and the Bugly

The following is general information for the 2023-24 Field Trips- Please check yes to show that you understand and agree.

Thanks to the generous support from our community, we are offering a fee waiver for all Imperil Valley Schools for the 2023-2024 School Year.

For non-Imperial Valley Schools: The cost for the program is $5 per person (this includes youth, school staff, and parents) The minimum for a field trip session is $150

✻

Yes No

We are limited to 2 classrooms per day. Keep in mind that we may need to limit the number of parents attending depending on the size of your classrooms/number of students ✻

Yes No

All participants must have a signed Waiver of Liability from the University of California. Waivers can be found here.

You can bring these waivers with you the day of the field trip. ✻

Yes No

Questions?

Thank you for taking the time to complete the form. After submitting, one of the Farm Smart staff will reach out with available dates for the requested field trip program.

Field Trip Request Form

Thank you for your interest in a Farm Smart Field Trip. Please fill in the information below and someone will contact you to book your field trip. If you have any questions, you can reach us directly at (760)356-3067, (760)791-0261 or through email: vlanderos@ucanr.edu or cjabarca@ucanr.edu

If you are interested in booking the Healthy Choices Through History Field Trip for 4th-6th graders,

please visit: https://forms.gle/4GV4CDYtwBGVj83RA