Group Packages - Greenville Gemstone Mine

Group/field Trip Intake

Disclaimer – Please Be Sure To Review Our Group/field Trip Payment And Cancellation Policy Before Completing This Form.

School/Organization Name*

Name of Contact Person*

First Last

Address

Street Address Address Line 2 City State ZIP Code

Email*

Contact Phone*

Billing Address

Street Address Address Line 2 City State ZIP Code

Number of Students*

Grade Level*

What Date and Time would you like to request?
(Please list your top 3 choices)

Date Option 1*

Date Option 2*

Date Option 3*

Party Time Preference?*

: HH

MM

Please review the Group/field Trip Payment And Cancellation PolicyBirthday Party Payment And Cancellation Policy before proceeding.

Do you agree with the above-mentioned policies.*

Phone

This field is for validation purposes and should be left unchanged.