Summers Farm: Corn Maze and Pumpkin Patch, Frederick, MD

Use this form for requesting reservations for School Field Trips, Birthday Parties or Campfires. Please enter all information requested, especially in the section pertaining to your reservation request.

*** NOTE: PLEASE READ THIS FIRST ***
USE YOUR TAB KEY TO MOVE FROM ITEM TO ITEM!
The VERIFY section is to control spam attacks and malicious scripts.
You must enter the characters in the verify box for the form to work.
If you encounter errors with your data after submitting, please remember that you'll have
to re-enter the verification code and all selections in the order portion of the form!
If all else fails, call 866.750.9316 for reservations.

* Required Items—Please Fill In All Required Items

Contact Information

*Contact's Name

*Contact's Email Address

*Contact's Telephone No.

*Contact's Cell Phone No.

*Address

*City

*State

*ZipCode

School Field Trip Specifics Only

*Name of School

* School Grade (multple grades can be chosen by holding the CTRL key on a PC or CMD key on a Mac and make all choices.)

*#Children

#Adults

*Total number of classes attending

* Specific Date Requested

Alternate Date Requested

* Time of Tour

* Verify

The form will not process unless you successfully enter the characters from the blue box in the field above. Case sensitive.

Questions or Comments

*Required Info

*** NOTE: PLEASE READ THIS BEFORE SUBMITTING FORM ***
Our reservation Policy: Payment for the campfire site must be made at time of reservation scheduling.
Cancellation Policy: If Summers Farm is closed due to inclement weather, we will refund the amount paid in full.