Reservation Form

Name:

School:

Address:

City:

State:

Zip Code:

Phone:

E-mail:

Date to Reserve:

Alternate Date:

Grade level of students:

Number of students:

Number of adults:

Approx. Arrival Time:

Approx. Departure Time:

Will you need a schoolmarm?

Yes

No

Do you wish to borrow or purchase a teaching manual?**

Borrow

Purchase

**

You may purchase a teaching manual for $25. However you may borrow the manual for free. (No Copyright)

Do you wish to borrow a video about Simmons School? If yes, the video will be mailed to the address above.

Yes

No

Copyright 2003--Flatrock-Hawcreek School Foundation