Field Trip Request Form

Thanks for your field trip request. We'll be in touch soon!

Required fields are marked with an asterisk and are highlighted in red.

Contact Person
First Name *	Last Name *	Title *

School
School Name *	Grade(s) *

Address *
City *	State *	Zip Code *
School Phone *	Home Phone *	Email *

Number of Students (25-35 please) *

Margaritas Restaurant Location * --Select-- 350 Roberts St, East Hartford, CT 12 Water St, Mystic, CT 85 American Legion Hwy, Revere, MA 211 Moody St, Waltham, MA 765 Bridge St, Weymouth, MA 438 Bedford St, Lexington, MA 75 Station Landing, Medford, MA 725 Cochituate Rd, Framingham, MA 180 Center St, Auburn, ME 390 Western Ave, Augusta, ME 15 Mill St, Orono, ME 11 Brown St, Portland, ME 242 St. John St, Portland, ME 1 Bicentennial Sq, Concord, NH 23 Members Way, Dover, NH 93 Portsmouth Ave, Exeter, NH 77 Main St, Keene, NH 18 Centerra Pwy, Lebanon, NH 1037 Elm St, Manchester, NH 1 Nashua Dr, Nashua, NH 775 Lafayette Rd, Portsmouth, NH 1 Keewaydin Dr, Salem, NH

Please select a Field Trip Package (see Package descriptions on Margaritas Field Trip page)
Package #1 *	Package #2 *	Package #3 *

Field Trip Date (Monday through Wednesday). Some restrictions apply.
1st Choice *	2nd Choice	3rd Choice
Comments

Required fields are marked with an asterisk and are highlighted in red.