Outreach Booking Request Form

Outreach Booking Request Form

Please fill out the information below to submit an Outreach Program request for your group and our office will contact you promptly.
Educator/Contact Name*

First NameLast Name
School or Group Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number (Lead contact for day-of)*
Date Requested (to confirm your date, CPF requires a $50 nonrefundable deposit)*

MonthDayYear
Date
Outreach Program Type: *
Start Time*

Start time can begin between 9 AM and 11 AM. Please contact office if requesting a different timeframe. Refer to outreach guidelines on website for timeframe.

AM/PM Option
Grade or Age Range of Group*
Number of Students or Participants (estimated is fine, we will confirm a total head count with your final invoice)
Have you previously visited Colonial Pennsylvania Farmstead for a field trip? or participated in any Virtual or Outreach Programs with us?*

YesNo
Please share any additional notes about your group that you think may be helpful to know.
Groups are booked on a first-come first-served basis. If your preferred date is not available at the time your request is made, we will work with you to find alternate dates.

CPF requires a nonrefundable $50 deposit to confirm your date. The remaining balance of your invoice will be due prior to the date of your program.

All payments (deposit and remaining balance) may be made by check payable to Colonial Pennsylvania Farmstead, PO Box 158, Gradyville PA 19039, or online. The deposit may be paid online below. If you would like to pay your remaining balance online with a card, please let us know so that we may send you a PayPal invoice.

Please remember our experiences are largely outdoors on a full-sensory-experience, working farm. Dress appropriately for the weather and consider wearing sturdy shoes as well as clothing that can get dirty.

If you have any questions feel free to reach out to us at education@colonialfarmstead.org or 610-566-1725.
Deposit Payment*

CheckCredit Card/Paypal
Make check payable to: Colonial Pennsylvania Farmstead

Mailing Address:

PO Box 158

Gradyville, PA 19039
Outreach Deposit
prevnext( X )
Outreach DepositNonrefundable deposit holds requested date. Deposit counts towards the overall final payment.
$50.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty: