Mahaffie School Program Registration

*Date Requested April 24 and April 25, 2025, are not available. Thank you for understanding.  (Your program is not reserved until you receive a confirmation letter from Mahaffie staff. Thank you.)

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*Date Requested April 24 and April 25, 2025, are not available. Thank you for understanding. (Your program is not reserved until you receive a confirmation letter from Mahaffie staff. Thank you.)

Time Preferred

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Time Preferred

Morning (Half Day)

Afternoon (Half Day)

Full Day that includes Morning & Afternoon

 School Name

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School Name

School Address

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School Address

Street

City

State(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Teacher Information

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Teacher Information

First Name	Last Name
Phoneext.	Email

Grade Level

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Grade Level

Program

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Program

Growing Up Victorian	Home on the Range
J.B. Mahaffie Had a Farm	The Tragic Prelude
Wagons Ho

How many will be participating?

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How many will be participating?

Number of Students

Number of Classes

Number of Adults (Including Teachers)

Are you eating lunch on the grounds?

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Are you eating lunch on the grounds?

Yes

No

How many souvenir bags do you want to purchase for $1 per bag?

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How many souvenir bags do you want to purchase for $1 per bag?

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