^* Field is required.

What time of day would you prefer to ride the rollercoaster? (Note: we cannot guarantee when your 2-hour time slot will be, but will do our best to accommodate your preference.)^*

• Morning (6 a.m. - 12 p.m.)
• Afteroon (12 p.m. - 5 p.m.)
• Evening (5 p.m. - 8 p.m.)

What is your principal's name and school address?

First Name:^*

Last Name:^*

Company:^*

Address 1:^*

City:^*

State:^* Select State or Province... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territory Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other

ZIP:^*

What is your phone #?^*
(###)###-####

What is your email address?^*
user@example.com

What is the URL of your GiveMN page?^*
www.givemn.org/XXXXXXXXXXXXXXXX