First Name
Last Name
Email
Contact Address
City
State
Zipcode
Country
Contact Phone
Fax
Date of Event:
Minimum Number of Students:
Approximate Number of Chaperones:
What are your alternate dates, if any?
Estimated Arrival
Estimated Departure
Will you have transportation available for the entire event? (Transportation may be needed based on activities chosen)
Under $60
$60-$80
$80-$100
$100-$120
$120-$140
$140+
Other
Activities
Arcade
Beach Ball Drop
Campfire w/S'mores
Casino Night (Double JJ Dealers)
Casino Night (Chaperone Dealers)
DJ Dance
Duck Race
Hayride
Hold-Up
Wicked Ranch (Haunted Attractions)
Indoor Waterpark
Airbrush Tattoo Artist
Karaoke
Line Dancing
Mechanical Bull
Video Horseracing
Laser Tag
Meal Options
Pizza Buffet
Pig Roast
Cook Out (Hotdogs/Hamburgers)
Walking Tacos
Box Breakfast To Go
Snack/Dessert Options
Sundae Bar
Unlimited Snacks
Unlimited Pop & Coffee
Comments or Questions
