Test GravityBookings November 7, 2025/in Uncategorized /by Levi School Visit Inquiry -GB Test Please fill out this form to schedule a time to visit LifeTown. We’re delighted that your school is planning a visit to LifeTown. To help us prepare for the best experience possible, this form includes four brief sections: contact information, school details, your preferred visit date, and payment information. Completing these steps ensures our team has everything needed to welcome your students.School InfoSchool Name*School Phone*School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a NJ Title 1 school?* Yes No StudentsTell us about the students you will be bringing.Number of Students*Number of staff/chaperones*School Type Elementary Middle High School Other Visit DateWe want every group to have an amazing LifeTown experience! Because space is limited, please select the dates that could work for your group. Once we review availability, we’ll confirm the best fit and get back to you. LifeTown shoppes are open 10:30am – 12:00pm on the days listed below, with access to the indoor space available until 1:00 PM. Please select two dates below by clicking on the date box.Visit Date* ← → Select 2–4 preferred dates Your InfoName* First Last Email* Enter Email Confirm Email Cell Phone*Position with School*Secondary ContactTo ensure that we can stay in touch with updates and confirmations, please enter contact info for a second person that is involved in this trip. Second Contact Name* First Last Second Contact Email Second Contact Phone*Day of TripPlease list the staff member who will serve as the main point of contact on the day of the trip.Who will be the main contact on the day of the trip?* Primary Contact Secondary Contact Day of Trip Contact Person*Day of Trip Contact’s Cell*This field is hidden when viewing the formScholarship RequestScholarship We would like to request a partial scholarship The cost to attend LifeTown is $35 per student per visit. Partial Scholarships are available. Please select below if you would like to apply for a partial scholarship. You will receive a separate email regarding the scholarship. This field is hidden when viewing the formAssistance RequestedComments or information we should be aware ofDate OptionsThis field is hidden when viewing the formSelected DatesThis field is hidden when viewing the formSelected Dates 2In a few days you will receive an email with the confirmed date of your trip. In the email will be three items that must be completed before your trip is confirmed. 1. Confirmation that the date works for your school. 2. A waiver must be completed or COI uploaded. 3. A deposit paid of $35. Once these three items are completed, your trip date is confirmed and held for you. https://lifetown.com/wp-content/uploads/2015/03/LifeTown_Logo_Color-2.png 0 0 Levi https://lifetown.com/wp-content/uploads/2015/03/LifeTown_Logo_Color-2.png Levi2025-11-07 13:46:052025-11-07 13:46:08Test GravityBookings
