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Farm Visit Request Form

Teacher / Contact Information
Work Telephone: (Required)
ext Extension
In event of an emergency
Organization Information
School, Group, or Organization Name
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
If applicable
Visit Information
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Provide any special notes or details about your group.

 

Payment & Insurance

Payment in full is due 30 days before your scheduled visit (checks preferred).  Please make checks payable to: The Friends of Hilltop Hanover Farm & Environmental Center Inc.

If the group chooses to stay longer than the scheduled program, there will be an additional $50/hr fee.

At least 10 business days in advance of your visit please mail, email or fax a certificate of liability insurance naming The County of Westchester as certificate holder and naming both the following as additionally insured:

1. The County of Westchester, 148 Martine Avenue, White Plains, NY 10601

2.The Friends of Hilltop Hanover Farm & Environmental Center, Inc. 1271 Hanover Street, Yorktown Heights, NY 10598.