Please complete the form below to reserve your spot for the eKids Easter Celebration at Eudora Farms Wildlife Safari. All entry fees for parents and additional family members can be paid at the gate upon arrival at the farm.

Parent Name

First Name

Last Name

I will be attending the event with my child:

Yes

No

Child (or children) attending:

Name of other family members attending:

Phone

(###)

###

####

Email

How are you planning to get to the event?

PLEASE NOTE: the group will leave from the Ebenezer Youth Center at 9:00am. All attendees must arrive to Eudora Farms by 9:30am.

Planning to meet at Ebenezer and ride the church bus.

Planning to meet at Ebenezer and drive personal vehicle.

Planning to drive personal vehicle and meet the group at Eudora Farms.