School _________________________________
District _____________________________
Address
________________________________ Phone ______________________________
_______________________________________
Fax _________________________________
Teacher
________________________________ Grade level ___________________________
Home Phone ____________________________
Email ________________________________
Teacher ________________________________
Grade level ____________________________
Home Phone ____________________________
Email ________________________________
Number of students ____________ Arrival
time ___________ Departure time ______________
Activities planned
______ gardening ______
rope making ______ tin smithing
______ candle making ______
roping ______ clothes washing
______ wood working ______ corn
husk dolls ______ camp cooking
______ square dancing ______
leather working ______ ice cream making
_____ __________ ______
__________ _____ _____________
Teachers are required to attend a training workshop. Parent volunteers are
also encouraged to attend.
Date of training workshop ________________
The
applicant agrees to hold the Galt Area Historical Society, inc., its
Executive Board, the individual members, and all employees free and harmless
from any loss, damage, liability, cost, or expenses that may arise during or
be cause in anyway by such use or occupancy of the McFarland Living History
Ranch. The applicant agrees to furnish such liability or other insurance for
the protection of the public and the Society as may be required by the
Galt Area Historical Society.
Office Use Only
Amount paid ________________
Date confirmed: _____________