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 10, 2012 May 11, 2012 May 18, 2012 May 22, 2012 May 23, 2012 May 24, 2012 May 25, 2012 May 30, 2012 May 31, 2012 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 18 and May 31.

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.)