Please fill out all of the fields below. Once we receive your information we will send out your tickets and workbooks. For additional information please click here.

School Name:
Principal Name:
School Contact Name:
Phone Number:
Email Address:
Address:
City:
State:
Zip:
Number of students:
Number of adults*:	*Administration, teachers, parents and chaperones only.
Total number:
	Yes No I would like more information regarding our Anaheim Ducks School Fundraiser Program.
	0 1 2 3 4+ How many times has your school attended the First Flight Field Trip?
	Yes No Is your group planning to participate in the First Flight Field Trip exhibition area?