Question Title

* 1. Please provide your school and contact information:

Question Title

* 2. How many people will be attending?

Question Title

* 3. Teacher names:

Question Title

* 4. Please let us know what time is convenient for you to attend the program by indicating when you can be at the farm in Concord. This will help us in determining the day's schedule.

Question Title

* 5. The fee for this event is $3.00 per student. Adult chaperones and teachers are free. All funds go to cover the cost of the event and to support future programs. Checks should be payable to NHAITC. Please indicate how you would like to submit your payment and if you require an invoice.

  yes no
will bring a check the day of the event:
will mail check in advance to NHAITC 295 Sheep Davis Road Concord, NH 03301:
will need an invoice in advance:

Question Title

* 6. Are there any allergies, medical or other issues we should know about?

Question Title

* 7. Are all of your students media approved so that we can use photographs in newsletters and newspaper articles?

Question Title

* 8. Other questions:

  Yes No Already subscribe
Have you attended this event before?
Would you like information on our Agricultural Literacy Program next year?
Would you like to subscribe to our newsletter?

T