1.0 Group Leader Interest Form
Group Leader Interest Form
Organization Name
Group Type
Please select...
College/Univ
Community
Corporation
Government
K-12
Non-profit
Other
Religious
Grade Level
Please select...
Preschool - Kindergarten
1st - 4th
5th - 8th
9th - 12th
Phone
Organization Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal Code
Group Leader Contact Information
First Name
Last Name
Email
Cell Phone
If you do not have a cell phone number, enter in another phone number unique to you.
x
Volunteering Request Details
Total # of Volunteers Anticipated
Anticipated Number of Chaperones
*** The Grafton Farm hosts groups up to 100, and school groups of 75 or less. Provide grade and number of chaperones in the notes section.
Dates requested must be after June 27, earlier dates are booked. ***
Date Request - 1st Choice
Date Request - 2nd Choice
Date Request - 3rd Choice
Location Preference
Please select...
North Grafton (05/03 to 10/15)
Harvard (8/23 to 10/15 with groups of up to 40 volunteers Monday through Friday)
Notes/Special Requests
Contact Information