Name of School:

District Name:

First Name:

Last Name:

Email:

Phone Number:

Street Address:

City:

State:

Zip:

Date your school will be attending: Choose One... May 23, 2013 May 24, 2013 May 29, 2013 May 30, 2013 June 4, 2013 June 6, 2013 Weekends (Saturday or Sunday)
Please provide weekend date:

If your date is not listed here, please contact Janelle Call at (801) 451-8060. We will call you to confirm your weekend date.

Please note: Lagoon will be open from 9:30 a.m. to 4:00 p.m. during School Days. Lagoon will be open until 5:00 p.m. on May 17 and June 4.

Number of students attending:

Number of chaperones
(faculty & parent) attending:

Number of buses your school will be using:

Lagoon will send a Pass for each of your bus drivers (one per bus).
Drivers will need to provide Lagoon with their District Transportation Identification card for entrance to the park.

Method of Payment:
Students will pay for themselves when they arrive at the entrance gate
Purchase order or school-issued check *

* (Lagoon will send you tickets for entry into the park, and your school will be billed for the number of tickets used. Please do not bring a school-issued check to Lagoon on the day of your event.)