Request More Information for Your Event

	Your Name:
	Street:
	City:
	State:
	Zip:
	Day Phone:
	email:
	Phone (evening)
Number of Guests		Children: Adults:
Are you a returning guest?		Yes No
Date Requested:
Time Requested:
Comments:
Please mail a $75 deposit to the address shown on the next page to hold your date and time. Kristi will contact you shortly to discuss other options, such as: Do you want a firepit? Do you want to take your group to the Pick Your Own Pumpkins field for $6 per person? Do you want face painting? Do you want a group wagon ride? Deposit must be received in 7 days to hold your reservation. No reservation is final until you receive confirmation from Pigeon Roost Farm.