Walker Farm Pioneer Days Field Trip Request form

First Name *

Last Name *

Email *

Phone 1 *

Data Privacy & Consent

Privacy Statement - Chattanooga Audubon Society At Chattanooga Audubon Society, we value and respect your privacy. This Privacy Statement outlines how we collect, use, disclose, and protect your personal information in accordance with applicable privacy laws and regulations. 1. Information Collection: We may collect personal information from you when you interact with us, such as when you visit our website, register for events, make donations, or sign up for our newsletter. The information we collect may include your name, contact information, payment details, and any other information you choose to provide. 2. Use of Information: We may use your personal information for various purposes, including but not limited to: Providing services and information you request Processing donations and event registrations Sending newsletters and updates about our activities Conducting research and analysis to improve our programs and services Complying with legal and regulatory requirements 3. Disclosure of Information: We do not sell, trade, or rent your personal information to third parties. However, We may also disclose your information if required by law or to protect our rights and interests.

School Information

School Name *

How many Classes are you bringing?

Grade Level

Number of Students *

Logistics

Pioneer Days Dates *

FRIDAY 21 is FULL Thursday is FULL, Wednesday 9:30 an 10:00am FULL!! Monday and Tuesday 9:30am is FULL

Second date request *

Time Requested Program Start time *

9:30am

10:00am

12:30pm

1:00pm

Pioneer Days 9:30am ( Pioneer Days ONLY)

Pioneer Days 10:00am (Pioneer Days ONLY)

Pioneer Days 10:30am ( Pioneer Days Only)

Pioneer Days Add on from Circle N Stables

Petting Zoo

Pony Ride

Gem Mining

Will your group be using the picnic grove to eat lunch?

Will your group need Trash bags for your lunch trash?

Please make sure you place all trash in the dumpster by the gate!!

Anything else we should know about?

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