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Visit our other attractions at
www.KerseyValley.com
SCHOOL GROUP RESERVATIONS
This form is for groups of 100+ to reserve a weekday at the Maize Adventure.
Choose your favorite combo bleow
Contact Name
*
Organization
Street Address
*
City
State
WY
WI
WV
WA
VA
VT
UT
TX
TN
SD
SC
RI
PA
OR
OK
OH
ND
NC
NY
NM
NJ
NH
NV
NE
MT
MO
MS
MN
MI
MA
MD
ME
LA
KY
KS
IA
IN
IL
ID
HI
GA
FL
DE
CT
CO
CA
AR
AZ
AK
Zip
Phone
*
Cell Phone
Email
*
Group Size
*
First Choice
Month
*
September
October
First Choice
Day
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
First Choice
Time
*
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00 noon
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
Second Choice
Month
September
October
Second Choice
Time
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00 noon
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
3:15pm
3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
Second Choice
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Grade Level
(examples: 5th, or 2nd-4th)
Combo Choice
Jr. Gemologist Combo $13 (Corn Maze, Gem Dig, Pumpkin)
Jr. Paleontologist Combo $13 (Corn Maze, Fossil Dig, Pumpkin)
Bee Educated Combo $10 (Corn Maze, Bee's Life, Pumpkin)
Lunch Option
*
Catered Bag Lunch
Will Bring Lunch
How did you hear about us?
Billboard
Website
Postcard
Co-Worker
Friend
TV
Radio
Visited Before
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