Program Request Form



When you complete this form, click on the "Send" button. Your email will open with the information from this form in it, so that you can check it for accuracy. Send the email as you would an ordinary email. You should hear from us within 2-3 days. If for some reason you have difficulty with this form, please email us by using the "Contact Us" button below.



Your first name: Your last name:

Your school or site name:

Location of your school/site:
City: State: Zip Code:

Your email address:

Your phone number:

When is the best time to contact you? AM PM

I am requesting information for a demonstration only.
Please explain:

Available School Programs ($3/student plus travel if applicable):

A Day in the Life

The Builders of a Nation

What's a Penny Worth?

Buggies, Carts, and Wagons

Straight from the Horse's Mouth

Send for the Doctor!

Other
Please explain:

Special Programs:

Introduction to Living History (1 day) $10 per child 5-18, $2 per child 2 - 4

Builders of a Nation (3 days) $35 per child 5-18, $10 per child 2-4

Stepping Back in Time (4 days) $45 per child 5-18, $15 per child 2-4

Trading Places (3 days) $35 per child 5-18, $10 per child 2-4



Click to go back to Past Connections main page. Click to see our available programs. Click for a printable brochure.
Click here for our references. Click here to learn about us. Email at realhistory@crookedtreefarm.com